Participant, authorizations and health form

Participant:

Name^1,2:

First Name^1,2:

Date of birth^1,2:

Sport level:

Height in cm:

Weight in kg:

Shoe size:

Arrival date in Geneva:

Native language:

AVS/AHV N°¹(DK if you don't know it yet):

Citizenship¹:

Enrollment recommended by(sponsor):

Participant contact information:

Email:

Cell:

Road:²:

N°²:

City^1,2:

Zip Code^1,2:

Country^1,2:

Legal guardian:

Name:

First name:

Link with the participant:

Email:

Cell:

Person to contact in case of accident:

Name:

Cell:

Name:

Cell:

Doctor:

Phone:

Consentements et validations:

yesI agree that personal data marked with Jeunesse+Sport (J+S).Our activities are J+S approved, therefore we must transmit the data of J+S participants.

I agree that the personal data marked with ₂, will be forwarded to my child's municipality of residence. For you to be eligible for a personal subsidy, we need to pass on this information to your municipality if it subsidizes camp participation. yesno

yesI have read and accepted Terms & Conditions and Privacy Policy

I agree to my child's personal information being sent to REGA to benefit from free insurance coverage:yesno

I would like to become a supporting member of Tchili Easy Learningyesno

I'm already a supporting member, my membership number is:

Authorizations:

Hereby, Mr/Mrs Legal guardian Namedeclares that participant name

has individual and personal insurance covering all risks of accident, in particular in the context of snow and/or mountain sports for leisure and training purposes.

If I have not subscribed to REGA for my child in the registration form, I declare that my child has individual and personal insurance covering the risks of assistance and rescue in the mountains and does not need to be insured by REGA free of charge.

The undersigned declares:

To release Tchili Easy Learning, its affiliated members and all other stakeholders from any responsibility in case of accident or any other harmful circumstance that could occur both in the mountains and during access to activities during transportation, leisure activities, training or other events.

I hereby authorize Tchili Easy Learning, its activity leaders, trainers, instructors, etc., whether external or internal, to take all emergency measures (medical treatment, hospitalization, surgery) made necessary by the condition of my child mentioned above.

I authorize my child to be transported in a vehicle by the coaches, instructors, etc., external or internal, in Switzerland and abroad within the framework of leisure activities, courses, training courses and camps

I am aware of the risks involved in mountain activities, which require compliance with the safety instructions given by the activity leader or instructor.

I have informed my child of the need to respect the instructions given by the activity coordinator or the instructor during the activities.

I will respect the copyrights and not reproduce, distribute, copy, publish or transmit the educational materials provided by Tchili Easy Learning to my child and commit to have my child respect these copyrights according to the Tchili Easy Learning General Conditions and Rules.

Authorizations:(snd)

Authorize my child to participate, under my supervision, in a closed discussion group on Signal (limited to the participants -through a parent- and the speakers) dedicated to the activity to facilitate the realization of a group educational work (realization of a logbook, a mini-article, an audio-visual support,...)yesno

Agree that my child will respect the group's rules of communication.yes

Authorize my child to participate in the creation of video and audio recordings illustrating the learning process and to appear on them.yesno

Ensure that my child does not publish photos and/or films without the consent of all concerned (facebook, youtube, tiktok, instagram, snapchat ...)yes

Authorizations:(right to image)

Authorize Tchili Easy Learning, its activity leaders, coaches, monitors, etc., external or internal, present during the activities to take photos or videos of my child that may be published by Tchili Easy Learning and its institutional partners (e.g. on the website, newsletter, articles, flyers).yesno

Also authorize:
Tchili Easy Learning’s organizational partners and sponsors.ouinon

Authorize my child to leave the meeting point or course site unaccompanied.yesno
by ticking NO I accept that in the event of lateness on my part or on the part of the person picking up my child, I may be charged CHF 85 per new started hour for additional childcare time.

Health information:

Blood Group:

Known allergies:

Medical history (accidents, injuries...):yesno

Consolidated:yesno

Injuries(s):

Known diseases or disorders:

Other medical condition (that you feel is important to report):

Respondent:

I am the legal guardian of the participating minor or I have been authorized by him/her to fill in these forms.

Name:

First name:

Role: