Participant Medical Consent Form - this must be completed by parent/guardian.
THIS FORM MUST BE COMPLETED BY A PARENT / GUARDIAN, UNLESS THE PARTICIPANT IS AGED 18 OR OVER.
A 'PARTICIPANT' is someone taking part in a Karos Adventure activity.
A valid email address must be entered in the space below.
A copy of this form will be sent to the email address provided upon completion.
Please see our privacy statement for details about how we store and use this information. This is available on our website
This information will be shared with the participant's school/organisation. The school will also share information with us that they feel is relevant to the expedition.
Participant First Name (or name known as, if different)
If the participant identifies with a gender that is not the gender they were assigned at birth, please indicate the gender they currently identify with and discuss camping arrangements with the school/organisation.
Participant Date of Birth
ENTER DATE IN FORMAT DD/MM/YYYY EG 01/01/2001 *** PLEASE TAKE CARE NOT TO ENTER THE CURRENT YEAR AS THE YEAR OF BIRTH. *** If you have trouble entering the correct date, please check your browser settings as it may be expecting American format date (MM/DD/YYYY).
Current age of participant
Please select the participant's school / organisation.
If you are attending as an individual, rather than as part of a school or group, please select OPEN.
Aurora Eccles School
Carlton le Willows Academy
Dixie Grammar School
East Leake Academy
Erasmus Darwin Academy
Hednesford Valley High School
Nottingham Free School
Nottingham Girls High School
Nottingham High School
Sheffield High School
South Wigston High School
St Dominics Priory School
Sutton Coldfield Grammar School for Girls
William Allitt School
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This form was created inside of Karos Adventure.