(Note: To participate in Toka’s programs is necessary filling in the form of participation in the program. You can download the document here to fill and send to email@example.com)
PARTICIPATION FORM FOR THE PROGRAM_________________________
Kosovo, Pristina, (Month, Day, Year)
NAME AND SURNAME OF PARTICIPANT________________________
To be part of the program, parent’s permission is requried as follows:
☐ Your son/daughter is allowed to participate in this program.
☐ I agree to bring my son/daughter at the location announced by TOKA.
☐ After completion of this form, I will sign this and the document of permission/approval for participation.
Please inform us if your son/daughter has special needs and requires special care, for example:
|Allergy to any food or something else|
|Had a Medical Operation recently|
|Previous physical wound (e.g bone fracture)|
|Fobia from heights|
|Has been sick on last month|
|If your son/daughter has any other medical needs that requires special assistance and care from the organizers, please write them below:
Please confirm that your son/daughter is complitely vaccinated with all the vaccines applied to him/ her_
|Others (please write):
Please share with us your preferencies regarding the freedom your son/daughter would have during the camp:
|I want my son/daughter to go to sleep in a specific time – if yes, write the time please|
|My son/daughter should always be in presence with other participants of the program|
|My son/daughter should always be in the presence of one of the organizers|
|My son/daughter has complete freedom to decide for his/her schedule, according to organizer’s rules|
Please share with us your contact details in case of an emergency:
|Name||Surname||Relationship to participant||Telephone number|
I have read and understood this document entirely. I understand and agree that my son/daughter can take part in this program.
PARENT’S NAME AND SURNAME: