Shipton Explorer Scout Unit » Kayaking Consent Form

Kayaking Consent Form

Explorer Scout's name*
Explorer Scout's DOB*
Date Format: DD slash MM slash YYYY
Consent to participate*
I herby give permission for the named young person to take part in Paddle Sport activities on the 10th October 2020. I understand that the event Leader reserves the right to send any participants home if deemed necessary.
- I give consent
Emergency contact name*
Emergency contact phone number*
Doctor's name and contact details
Details of any medications currently being taken
Details of any disabilities, medical conditions, allergies, special needs or cultural needs that might affect this event:
*
If it becomes necessary for the above named young person to receive medical treatment and I cannot be contacted to authorise this, I hereby give my general consent to any necessary medical treatment and authorise the Leader in charge to sign any document required by the hospital authorities. Please make the event organiser aware of the location of any medication carried by, or required by the young person when they are dropped off.
- I have read and understood the above
Name of person giving consent
Date*
Date Format: DD slash MM slash YYYY