Child Medical & Emergency Contact Form 202
Please fill in your details.
Child's Full Name
I understand that the child will be taking part in high risk adventurous activities which could involve Water Sports, e.g Canoeing, Kayaking, Rafting & Raft Building; Mountain activities, including Walking, Scrambling, Rock Climbing , Mountain Biking
I confirm that this child is physically competent to take part in all activities.
Is the child able to swim for 50 metres?
Select an option
Yes
No
Please give details of any medical conditions/ medication / additional needs of which the activity leader needs to be aware
Emergency contact details:
Relationship to child
Emergency contact number
I agree that this child can be photographed during activities.
Select an option
Yes
No
I agree that photographs of this child can appear on WAVE Adventure and/or social media sites.
Select an option
Yes
No
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