Athlete Acceptance and Parent Consent Form Please complete all required fields below. Personal Details ▼Email * First Name * Last Name * Known As Preferred name or nickname Date of Birth * Place of Birth Ethnicity -- Select -- NZ European Maori Samoan Cook Islands Maori Tongan Niuean Chinese Indian Other Gender -- Select -- Male FemalePhysical Details ▼Contact Details ▼Emergency Contact ▼Health ▼Education ▼Sports & Experience ▼ Consent & Parent / Guardian Confirmation PLEASE COMPLETE EACH CONSENT STATEMENT * 1. Programme participation I/we confirm that I/we have read and accept the Panthers programme terms and conditions and consent to the named player participating in the 2026 Panthers programme. YES NO 2. Pathway communication I/we consent to Panthers contacting us about future education, athlete-development, rugby league and sporting pathway opportunities relevant to the player. YES NO 3. Third-party introductions I/we consent to Panthers, where considered appropriate, providing us with information about or introducing us to professional sporting organisations, clubs or appropriately accredited advisers. I/we understand that we are under no obligation to enter into any agreement or accept any opportunity offered by a third party. YES NO 4. Photography and media I/we consent to photographs or video of the player being used by Panthers for programme reporting, educational and promotional purposes. Declining promotional photography consent does not affect the player's ability to participate. YES NO Parent / Guardian confirmation I/we confirm that the information provided is true and complete to the best of our knowledge. * Parent / Guardian 1 Typed name * Date * Parent / Guardian 2 Typed name Date Optional Submit Registration Reset