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Parental Consent Form
CONSENT IS REQUIRED BY THE PARENT OR GUARDIAN OF PERSONS UNDER THE AGE OF 18 WHO WISH TO PARTICIPATE IN FIELD FIT ACTIVITIES

Any information provided on this form will be held in confidence.

Our staff need to know these details in order to meet the specific needs of the individual

Name of person U18 - *
Your answer
Gender - *
DOB - *
MM
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DD
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YYYY
Address - *
Your answer
Parent's Contact Number - *
Your answer
Emergency Telephone Number -
Your answer
Detail of known allergies -
Your answer
Identify any special needs, requirements, directions -
Your answer
I will inform Field Fit of any important changes to my child’s health, medication or needs and also of any changes to our address or phone numbers given.

In the event of illness, having parental responsibility for the above named child, I give permission for medical treatment to be administered where considered necessary by a nominated first aider, or by suitably qualified medical practitioners. If I cannot be contacted and my child should require emergency hospital treatment, I authorise a qualified medical practitioner to provide emergency treatment or medication.

I confirm that all details are correct to the best of my knowledge and I am able to give consent for this child to participate in Field Fit activities.
Name of Parent/Guardian - *
Your answer
Today's Date - *
MM
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DD
/
YYYY
Email -
Your answer
Data Protection: Your information is secure and will not be shared with third parties
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