Medical Form

Please submit this form for each child.

Name of Child *
Name of Child
If yes, please provide details
Please state if your child has any allergies. (Please include, food medication and/or bee/insect stings).
EpiPen *
Does your child require an EpiPen?
Is there any reason why your child cannot participate fully in the activities.
Are there any specific conditions for which your child must either be observed or receive medication and/or treatment on a regular basis?
Has your child been exposed to any infectious disease within the last three weeks? If yes, please state which disease and when exposed:
Often, during our camps, photographers/videographer, visit our camps for marketing purposes. Please tick if you opt out,
Please give details of primary contact in the event of an emergency. (Include name, tel numbers, email and relationship to your child).
Please give details of secondary contact in the event of an emergency. (Include name, tel numbers, email and relationship to your child).
Inputting your name confirms that you understand this form and that you agree it is correct.

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