This form should be completed by the guardian of each minor participating in the set event.RM_StatsGuardian's DetailsParent's UsernameGuardian's Email Address *Guardian's Email AddressRelationship with child *Select an optionmotherfatherlegal guardianCreate Child's Account DetailsUsername *Email *Phone Child's Personal DetailsFirst NameLast NameGender Male Female Date of BirthSchool NameSelect an optionBluLever EducationCapricorn High SchoolCenturion Montessori SchoolCurro HeuwelkruinCurro Krugersdorp High SchoolDeutsche Internationale Schule JohannesburgDunamis Christian SchoolEagles Nest Christian SchoolFirst One Adventures Learnership ProgrammeFrans Du Toit High SchoolGreat GraceJohannesburg International School of AmericanJohannesburg Muslim SchoolKingfisher Private SchoolKings Court SchoolLycée Jules Verne de JohannesburgMaputo International School of AmericanMaragon Private SchoolMeridian College PhalaborwaMeridian Cosmo CityMitchell HouseMountain Cambridge SchoolNorthview Christian AcademyVillage Montessori SchoolGradeSelect an optionPre-School123456789101112 Dietary RequirementsDiet * Normal Kosher Halaal Vegan Vegetarian Other Other Diet: Please specify *Food Exclusion No Red Meat No Tin Food Lactose Intolerance No Dairy Products No Chicken No Fish No Pork No Nuts Other Other Food Exclusion: Please specifyHealth QuestionnaireWhat physical disabilities or conditions do you have that might affect your participation in this activity including operations illness, broken bones in the past six months? Asthma Diabetes Heart Conditions Hemophilia Seizures Fragile X Syndrome Wheel Chair Other Other Physical disabilities: Please specify *Any allergies? Bee stings Crustaceans (Shellfish) Drug Allergy (Please specify) Eggs Fish Latex Milk Nuts Sesame Pollen Soy Wheat Other Other Allergies: Please Specify *Last date of immunisation (tetanus, booster, etc.)? 3 Month Ago 3-6 Month Ago 6-12 Month Ago 12-24 Month Ago List any medications being taken?Authorisation for Medical TreatmentPlease complete the following as thoroughly as possible. The information will be used only by the program leaders and any emergency medical personnel. All material is confidential.Medical Aid NameMain MemberMedical Aid NumberID NumberMain Member's ID NumberPhotographyI give consent for photographs/videos to be taken of my child while at a First One Adventures’ camp. These are to be used solely for the purposes of record keeping and promotion of First One Adventures. All personal information collected in this form will be used for the purposes of First One Adventures and will not be disclosed to any external or third parties. * Yes No Water ActivitiesSwimming Confidence *Select an optionNo Swimming ExperienceEliminatoryConfidentPost EventI consent my child to participate in post-camp communication with their event leaders from camp. All our communications between leaders and campers are monitored by the Koolisa director. I consent my child to keep in contact with event team * Yes No
This form should be completed by the guardian of each minor participating in the set event.
Kooilsa is a software application for parents to manage registrations for their children's school events. The application managers kids data used by the host and restrictions pre-set by guardian.