Camp Form – 1st Durrington Scouts Camp Form – 1st Durrington Scouts "*" indicates required fields 1Young Person Details2Permissions Event Details1st Durrington Scouts camp taking place at Hillside Scout Campsite, Small Dole, BN5 9XJ. Start: 17/05/2024. Finish: 19/05/2024.Young Person DetailsYoung Person's Name* First Last Pronouns* He/Him She/Her They/Them Other Date of Birth* Day Month Year Have they been in contact with any infectious diseases within the last 3 weeks?* Date of last tetanus immunisation* Medicines currently being taken* Do they have any allergies to food, medicines or other?* Do they have any special dietary needs?* Do they have any additional needs?* Name, address and telephone number of own Doctor*Primary Contact 1* Name Relationship to Young Person Phone*During the event, I can be contacted in an emergency onPrimary Contact 2* Name Relationship to Young Person Phone*During the event, I can be contacted in an emergency onIf you are going to be away at anytime during this camp, we must have alternative contact details for you, or alternatively another family member or friend who has agreed to be contacted should your Scout or Explorer become unwell.Alternate contact details if applicable: PermissionsConsent*I understand that the Camp Leader reserves the right to send any participants home if necessary. If it becomes necessary for my child to receive medical treatment and I cannot be contacted by telephone or any other means to authorise this, I hereby give my general consent to any necessary medical treatment and authorise the Scouter in charge of the camp to sign any document required by the hospital authorities. I agreeConsent*I give permission for my Scout/Explorer to undertake various scouting activities at this event I agreeMedicationsLeaders are allowed to provide non-prescription medicines provided we have parental consent, those 16 or over can make this decision themselves. Therefore, as part of our first aid provision at the above camp please indicate which of the following over the counter medicines may be used if requested for your child. Paracetamol Piriton Ibuprofen Elastoplast Calpol Insect repellent Any prescription medicines currently being taken by the participant should be notified separately. When they are brought to the event, they should be appropriately packed, and have instructions as to the administration. Whilst it is common for many to self-administer some medication, inhalers etc., it is important that the leadership team is aware and if possible have spares of some medications, inhalers, Epipen’s etc.Parent / Carer Name* Parent / Carer Signature*Parent / Carer email address*To receive a copy of this form. This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.NameThis field is for validation purposes and should be left unchanged.
