DYCA Parental Consent Form
Form to be completed by parents of climbers joining DYCA under the age of 18 years of age. This information is used to inform instructors of medical information and emergency contact details. Please ensure all fields are completed accurately.
British Mountaineering Council affiliated club no B443500
Dorset Youth Climbing Academy operate rock climbing clubs for young people across Dorset aged 8-18 years of age. We train indoors and run trips climbing outdoors. Membership is £10 annually. Membership runs from September 2017 to September 2018. DYCA@live.co.uk
2016-2017
DYCA is an accredited Active Dorset satellite club provider
Your Child's name
Please include first name and surname
Your answer
Date of Birth
MM
/
DD
/
YYYY
Parents Name/s
Your answer
Parents emergency contact tel no
Please include a mobile phone no also if possible
Your answer
Your answer
Parents email contact address
DYCA will use this email address to notify of term dates, trips, competitions and other ventures
Your answer
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