2degrees SupportHER Rugby Series Consent Form Players Name School Date of Birth Emergency Contact Full Name Relationship to Player Emergency Contact Phone Number Medical Conditions / Allergies By ticking this box, I give permission for my child to take part in the SupportHER Rugby Series and confirm that my child is in good health and able to participate. I understand that rugby is a physical activity and involves a risk of injury. By allowing my child to take part, I agree that the school, 2degrees and the relevant Super Rugby Aupiki Team are not responsible for any injury, loss or damage suffered by my child during the event, except where required by law. I also agree to cover any reasonable legal costs incurred by the school, 2degrees or the Super Rugby Aupiki Team in relation to any claim connected with my child's participation. By ticking this box, I consent to my child being photographed or filmed while participating in the SupportHER Rugby Series. I agree that these images or recordings may be used by the school, 2degrees MediaWorks and the relevant Super Rugby Aupiki Team for marketing, promotional and commercial purposes, including across digital and social channels. Leave this field blank (optional)