Please complete the Tour Consent Form below in as much detail as possible.

EMERGENCY CONTACT DETAILS

Emergency Contact Person 1

Emergency Contact Person 2

DOCTOR'S DETAILS

MEDICAL AND ACTIVITY INFORMATION

| Does your child suffer from any medical condition / injury?

YES/NO
YesNo

| Are they currently on any medication?

YES/NO
YesNo

| Do You give permission for staff to administer medication?

YES/NO
YesNo

| Does your child have any allergies?

YES/NO
YesNo

| Does your child have any special Dietary requirements?

YES/NO
YesNo

| Are there any issues you feel we need to be aware of e.g. emotional issues such as family bereavement etc

YES/NO
YesNo

| I consent to my child receiving first aid medical treatment which in the opinion of a qualified practitioner may be necessary

YES/NO

I consent to my child participating in other organised activities e.g. swimming, cinema, bowling etc.

YES/NO