Personal and professional, physiotherapist-led classes and treatments for both you and your baby
In completing this form, I, the parent/guardian of the aforementioned child, affirm that I have read this form
in its entirety and i have answered the questions accurately and to the best of my knowledge.
I understand that my child is responsible for monitoring him or herself throughout any activity, and should any unusual symptoms occur, would ease participation and inform the instructor.
I understand that if my child is under the age of six years, I the parent/guardian am responsible for monitoring him or her within their activities.
In the event that medical clearance must be obtained before my child’s participation in an exercise
session, i agree to contact the GP and obtain written permission prior to the commencement of the exercise activity, and that the permission be given to the instructor.
I understand that if my child fails to behave in a manner that is polite and social, he or she could
be suspended from that particular activity.
Please note that this is a Free Promotional Event. For publicity purposes, LiveWell Waterford and other Waterford Harvest Festival media partners, including local newspapers, may wish to take photos/videos during the scheduled events of the Harvest 'LiveWell' Day. This includes in the class setting. These photos/videos will be used for media purposes by LiveWell Waterford & Waterford Harvest Festival and on the LiveWell Website, publications and/or social media associated with LiveWell Waterford and/or the promotion of future Harvest Festival Events.
THIS INFORMATION IS PROTECTED BY THE DATA PROTECTION ACT 1984.
Live Well Waterford is a registered business based at Unit 21, Ballinakill Shopping Centre, Waterford.
M: 051 821393