In the event of an accident or illness, I authorise the obtaining of any medical assistance on my behalf as may be deemed necessary by the staff of NZDSA.
I understand and agree that I need to follow the Health and Safety Guidelines provided and that everyone attending is responsible for taking the necessary measures to ensure their own and others’ safety.
I accept that whilst the New Zealand Down Syndrome Association Incorporated (NZDSA) staff, volunteer support workers and other organisations will exercise due care and employ health and safety risk management techniques in the support and activities, it will not be liable for injury, damage or loss which a delegate may sustain to themselves or their property whilst attending the NZDSA Youth Development Camp, Funshop or Events.
I accept responsibility for my own actions and safety.
I understand that the NZDSA will not accept responsibility for loss or damage of personal property.
I have completed these forms to the best of my knowledge. I have read and understood the statement with regard to risk management and the privacy portion of this form. I have completed the criteria for attendance list. I agree to participate in the assigned tasks.

Privacy
The information provided will only be used for risk management purposes and for our records. Your information will not be given to any other agency or person without your permission.

Volunteer / Parent / Primary Carer / Staff Registration