Year 4 Youlbury - Medical and Dietary Form

Please read the information below and complete the medical and dietary form. This form is to be completed for all children.

Establishment / Setting Name: Youlbury Scout Centre

CONSENT FORM FOR OFF-SITE VISITS AND ACTIVITIES

Please submit the form below if you are happy for your child:

A) To take part in school/establishment visits and other off-site activities (including swimming, sporting activities, local and environmental activities).

B) To be given first-aid or urgent medical treatment during any establishment/setting visit or activity.

I understand that:

1. I will be informed of the dates and nature of the activities beforehand and will have the opportunity to withdraw this general consent should I wish to do so.

2. Advance notice will be given if the activity extends beyond the school day so that appropriate arrangements can be made.

3. Specific permissions will be requested for extended journeys, residential visits, adventurous activities and activities for which a charge has been made.

4. I need to ensure the school is kept informed of any medical condition/disability as and when they arise.

Medical Information:

Please note that if any medications are required by your child you will also need to complete a ‘Parental Agreement for Setting to Administer Medication’ form

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