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Participant Medical Information
Every person (adults and children) attending Kaitoke Outdoor Education Centre programs must provide the below information
Participant Personal Details
First Name *
Your answer
Last Name *
Your answer
Address *
Your answer
Participant Caregiver Details
Full Name *
Your answer
Contact Phone Number *
Your answer
Participant Dietary Information
All questions below are relating to the participant attending camp
Do you have any dietary requirements/ food allergies? *
Comments
If yes, please state below e.g gluten free
Your answer
Participant Medical Information
All questions below are relating to the participant attending camp
Please tick if any of the below statements relate to you
Notes *
Please provide further information below if any of the above boxes were ticked. Otherwise just type 'no'
Your answer
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