Junior Activity Child Protection Health and Safety

Junior Activity Child Protection Health and Safety

use this to register / record details of children who will be participating in outdoor activities, where medical history and parental contact details and consent is required Form Preview
  • DQSC Junior Activity Child Protection Health & Safety

    This form must be completed in order that your child may participate in club sailing activities
  •   YES NO
    Asthma
    Bronchitis
    Fits, fainting or Blackouts
    Heart Condition
    Severe headaches/ migraine
    Diabetes
    Epilepsy
    Allergies (drugs/ food/ insects)
    Any other disability or illness
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  • Should be Empty: