AGA KHAN YOUTH & SPORTS BOARD — Usman Khawaja Foundation

Usman Khawaja Foundation AGA KHAN YOUTH & SPORTS BOARD Cricket Clinics

Please complete the below form to register your child’s interest (girls and boys aged between 6 to 12) for the upcoming Usman Khawaja Foundation free cricket clinics:

Perth
More information coming soon, contact AKYSB for further information.

To register, please complete the below form. By completing the below form you understand the cricket clinics involve physical activity and your child/children are participating voluntarily and at their own risk.

Parent Name

First Name

Last Name

Parent Email

Parent Mobile Number

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Child's Name

First Name

Last Name

Child's Age

Child's Gender

If your child has any medical conditions we should be aware of, please list them here and the necessary medical requirements.

Select Preferred Location

Terms & Conditions

Medical - In the event of a medical emergency, I hereby authorise emergency treatment to be administered by a qualified staff member. I also give permission to be transported by ambulance to an emergency centre or hospital if needed. I further accept responsibility for all expenses incurred for the medical treatment in case of an emergency.

Release - I release, indemnify and hold harmless Social Development Inc, including His Highness Prince Aga Khan Shia Imami Ismaili Council for Australia and New Zealand, its portfolios, members, staff, volunteers and agents (including the AKYSB and Tournament Team Members) from all liability, claim or expense, however arising, in anyway connected to the Participant’s involvement with the Tournament.

I consent to use of photos on social media and receive communication via SMS related to the event.

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Usman Khawaja Foundation