— SIGN UP — Participant Information Nullamore Club Programme Father and Sons (1st-6th class)Friday Club (1st-3rd year) First Name (required) Surname (required) School Year Level (required) 1st class2nd class3rd class4th class5th class6th class1st year2nd year3rd year4th year5th year6th year Date of Birth Medical facts &/or allergies Hobbies and Interests Brothers and Sisters Student Email (if applicable) Home Phone (required) Mobile Phone (if applicable) Parent Information Father's Name (required) Father's Email (required) Father's Mobile (required) Mother's Name (required) Mother's Email (required) Mother's Mobile (required) Address Street Address (required) Street Address (2nd line) Postcode (required) City (required) Parental Consent Medical: I authorise Horizon staff to seek medical assistance for my son, should the need arise. Photo: I authorise any photography that includes my son to be used for the purpose of promoting the Horizon programme. I understand that such photography remains property of Horizon. By entering my name below, I understand that I am signing as a parent or legal guardian. Parent's Name (required) If you have any additional comments for the program directors, please mention them here.