This form must be submitted online within 24 hours of the team being announced. Failure to comply with this timeline may result in the offer to play for AICES being withdrawn.
Private Health Fund:
Do you have any medical, allergy or other special needs the team manager or coach should be aware of?:
If yes, please outline your Asthma Plan in the box on the right.
If yes, please outline details in the box on the right.
The AICES Playing uniform will be supplied on a hire basis and must be returned at the end of the day (except Rugby). You will need to order all other uniform you do not already have from the lists below. Please consult the AICES page for your sport to find out what is mandatory.
Items in this order will be forwarded to the AICES Manager/Coach for distribution on arrival.
I give my consent for him/her to participate in the activity above and agree to delegate my authority to the staff and instructors involved. Such teachers and instructors may take whatever disciplinary action they deem necessary to ensure the safety, well-being and successful conduct of the students as a group, or individually in the above mentioned activity also authorise the teachers and instructors to obtain medical assistance, which they deem necessary should an accident occur, and agree to pay all medical expenses incurred on behalf of the above-mentioned student.
I submit the attached medical information about the above-mentioned student and include details of limitations, which he/she has for the activities concerned. I further authorise qualified medical practitioners to administer anaesthetic or any other emergency treatment as they require if such an eventuality arises.
I acknowledge AICES does not carry personal (individual) injury insurance and that all medical costs resulting from injury at AICES or CIS events are the responsibilty of individual schools or families
I accept that my child is to behave in an appropriate manner and have explained this obligation to him/her. I have sighted the Code of Conduct in the Administration Section of the AICES Website www.aices.com.au and agree that if my child seriously contravenes behavioural expectations he/she may be immediately excluded from the activity at my expense with no refund available.
I have downloaded and read the information on the website and hereby consent to my child participating in this event and that my child understands the dates and commitment and will fulfil that obligation.
I also note the following AICES By-Law - Students selected in an AICES Team will be expected to sign off on and fulfil the commitments as outlined in the information sheet. If a player fails to fulfil the commitments without good reason (eg injury or sickness) they may be excluded from all remaining AICES Sports for a period of 12 months.
Digital Signature:
