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General Brownsea Parent Consent Form

Dear parents/guardians/caregivers,

The following are arrangements for an Activity at Brownsea.

In the event of injury to the Youth Member, where reasonable attempts to contact me are unsuccessful I give authority for such medical treatment to be given to the youth member as is recommended by a medical practitioner and seems in the opinion of the leader in charge to be reasonable and appropriate. I undertake to be responsible for any fees or charges with respect to that treatment and to pay those costs on demand by the Association.

Once the camp fee is paid and provisions purchased, no refund will be made through non-attendance at the respective activity except in special circumstances.

Assemble at: Brownsea 8:00 am

Returning to: Brownsea 15:00 pm

Spray Jacket, Warm Clothes, Drink Bottle, Change of Clothes

What is the name of the Member Attending this event? *

Which Scout Group are you from? *

Activity Start Date *

Should the necessity arise, I can be contacted during the activity period at: *

Points in the Member’s health or dietary requirements requiring some special attention: *

Details of Member’s behaviour or habits requiring special attention: *

Details of Member’s faith requiring special attention: *

The program will contain the indicated adventurous activities requiring specific approval. Please indicate your consent adjacent to indicated activity *

Can your child swim
Swimming
Sailing
Paddling