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Medical Form

All sections of this form must be completed by the participant or a parent/guardian (if under 16) prior to participation. You must also inform us of any changes to this form prior to participation.

Child's Birthday
Day
Month
Year
Any relevant information (e.g. asthma, allergies, medication, additional needs or current injuries etc)
Yes
No

Please note, The ARC Centre can only oversee or administer the taking of medication by children if the medication is clearly marked with the child’s name and we have received a completed Medication Consent form from the parent/guardian which states dose and time. Consent is required even if the child is able to self medicate (e.g. asthma inhaler).

Please contact us to discuss any medication needs prior to the event.

In case of emergency, The ARC Centre reserves the right to seek emergency medical care for any child under their direct care and supervision, until the parents/guardians can be contacted.

Animal handling permission.

Our sessions do include animal handling. We request your permission for your child to partake in this, whilst understanding that The ARC Centre cannot be held responsible for any animal related injuries that occur whilst handling or observing.

Please confirm your animal handling consent:
Yes
No

Photo/Video permission.

Please confirm your consent to take photos/videos of yourself/your child:
Yes
No
Please confirm your consent to use these in promotional materials:
Yes
No

Sun cream.

We advise all children to bring suitable sun cream with them if the weather is suitable, but in the unlikely event this has been forgotten, we have a small supply on site which your child may self-administer.

Please confirm your consent for suncream:
Yes
No

Permission for further classes and camps:

If you would like to, we can use this medical form for all future activities. Please be advised that if you give us this permission, it is your responsibility to update us on any changes to this form.

Please confirm your consent for further classes and camps:
Yes
No
Date
Day
Month
Year
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