Name of child:
Age:
Name of Parent or Guardian:
Telephone No.:

*Child must be in attendance to receive helmet or helmet voucher.

*Please note that the distribution of the free helmets will be done on a first come, first serve basis and attendance is required; only the first 350 children registered and in attendance will receive a helmet.

*Kindly note that pre-registration is required to participate in this event.

Consent

Please indicate whether you give permission to Girones Bourdon Kelly Lawyers for the take and use of photgraphs and/or videos of your child during the event:
I authorize Girones Bourdon Kelly Lawyers to take and share photographs and/or videos of my child.I do not authorize Girones Bourdon Kelly Lawyers to take and share photographs and/or videos of my child.

The name of my child will not be used in other public publications, but may be used in the Internet or social media platforms of Girones Bourdon Kelly Lawyers. This authorization will remain until other written direction is received.

Parent's signature: