Astrordinary 2024 Consent Form

Parental consent is necessary for all participants below age of 21

Date & Time 12 March 2024 (Tue) 2.00pm - 8.30pm (Dinner will be provided free of charge)

Venue Hwa Chong Institution (College Section)

661 Bukit Timah Road, Singapore 269734

I _________________________(name of parent/guardian)* consent / do not consent*

my child / ward* to participate in “Astrordinary 2024” organized by the Hwa Chong
Institution Astronomy Club.

My child / ward* is to be responsible for his / her own safety and look after his / her own
belongings. HCI will not be held liable for any losses.

Please contact Mdm Chee Wei Wei at cheeww@hci.edu.sg if you have any queries.

Parent’s / Guardian’s* Signature: _________________________ Date: ____________

CHILD’S PARTICULARS

My child’s / ward’s* name Email address

School & Class Special dietary requirement: Vegetarian* Halal*

Any food allergies, pls specify:

EMERGENCY CONTACT

Parent’s / Guardian’s* name

Contact number

*please delete accordingly