Jubilee Camp 4th - 6th May 2012
This form gives your child permission to attend Greenock & District Scouts Jubilee Camp at Ardgowan Estates, Inverkip between 4th & 6th May 2012 sleeping under canvas.
It also gives permission for your child to take part in any activity that is suitable and appropriate for his/her age and ability.
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Name of Group *
Bever/Cub/Scout/Explporer/Leader *
Scouts Name *
Scouts Home Address & Post Code *
Scouts Home Telephone Number *
Scouts Date of Birth *
Scouts Height (required for some activities) *
I have noted the arrangements above and agree to the named young person taking part. I understand that the event Leader reserves the right to send any participants home if deemed necessary. *
Parent/Carer Name & Address *
Parent/Carer telephone number *
Emergency Contact 1 for weekend *
Name & Address
Relationship to Scout - Contact 1 *
Emergency Contact 1 - telephone number *
Emergency Contact 2 for weekend *
Name & Address
Relationship to Scout - Contact 2 *
Emergency Contact 2 Telephone number *
Family GP & Telephone Number *
Family Dentist & Telephone Number *
Has this Scout been in contact with any infectious disease within the last month or does this Scout have any specific medical condition which is currently being treated?   *
If Yes please Specify  
Is this Scout taking any form of medication prescribed by a doctor? *
If Yes please Specify  
Does this Scout suffer from: Asthma, Chest complaints, Hay fever, Migraine, Fits or Faints or any other Illness? *
If Yes please specify if an inhaler is used, which type and frequency of use  
Is this Scout allergic to anything (e.g. Aspirin, antibiotics, antiseptics or any food, drink or drugs)?   *
If Yes please Specify  
Does this Scout require any special dietary needs? *
If Yes please Specify
Date of last Anti-tetanus injection if known *
If there are any other details which you feel should be known by any Leader in charge of this Scout please specify.
May this Scout under supervision take part in Water / Adventurous Activities ? *
Note: All activities will be run in accordance with The Scout Association’s safety Rules. No responsibility for the personal equipment/clothing and effects can be accepted by the organisers and The Scout Association does not provide automatic insurance cover in respect to such items.
Can this Scout swim ? *
Analgesics are not permitted to be given without parental consent.   *
Please advise if you agree or do not agree to your child been given analgecis if necessary
EMERGENCY PERMISSION *
If I am unable to be contacted at the above addresses or telephone numbers. I hereby authorise a fully appointed Scout Leader to give permission to the doctor in charge to undertake whatever treatment is considered necessary for my childNote: The medical profession takes the view that a parent’s/carer’s consent to medical treatment cannot be delegated. This view is explicit in the Children Act 1989.Thus the medical consent forms have no legal status and a doctor/nurse insisting on the consent of a parent/carer to particular treatment has the right to do so. For this reason, we do not recommend that Leaders insist on parents signing this statement. However it can be a comfort to medical staff to have general consent in advance from parents/Carers to have a leader on hand able to sign forms required by the medical authorities..
CAMERAS OR VIDEO MAY BE USED DURING THIS ACTIVITY *
Arrangement and responsibility of times for drop off and picking up lies with your childs own Group *
Please make yourself aware of these arrangements through your childs Group
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