Registration Head of Year Conference

First Name *

Last Name *

Date of Birth

Email Address *

Phone Number *

Home Address *

Home Address Line 2 *

Home City *

Home Postcode *

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Upon entering HIC, I assume responsibility for the wellbeing of myself and those in my party. I also agree to:

· Abide by all guidance aimed at preventing the transmission of the COVID-19.

· Follow all directions provided by team members and set out in the signage within the venue.

· Neither myself, nor persons in my home are infected with COVID-19, nor showing symptoms of which are advised to require isolation from others.

waver *

Data agreement opt-in *

yes