Camp Consent Form
Camp Consent Form
Additional Emergency Contact: Name: Relationship: *amil+ ,octor: Trip - appro.e of m+ child attendin& this trip. -n the e.ent of illness or accident - authorise such medical assistance as ma+'e necessar+. - a&ree that m+ child should ta$e part in those acti.ities and duties re/uired '+ staff. - understand that this is a school trip and that school rules appl+. -n the e.ent of a serious 'reach of discipline - a&ree that m+ child ma+ 'e 0ithdra0n from the trip. Phone No:
%e.&. nei&h'our( &randparent)
Phone No:
Medical
Please complete the attached medical sheet 0hich 0ill &i.e us a detailed summar+ of health considerations for +our child.
!as +our child had a course of anti1tetanus in2ections3 YES / NO ,ate of last in2ection: 4i&nature of Parent or 5uardian: 4taff Chec$: ,ate: