1st Woodley Cub Scout Camp Permission Form st Event: 1 Woodley Cub Camp 2012 Date: 4-7/5/2012 Location: Butchers Coppice Scout Campsite, st th Meeting place and time: 1 Woodley Scout Hut @ 17.00, Friday 4 May st th Collection place and time: 1 Woodley Scout Hut @ 15.00, Monday 7 May £70.00 - £______ Received with thanks = £_______ To Pay Cost: st (Cheques payable to: 1 Woodley Scout Group) Organiser and contact details: Clair Turnbull, 13 Hearn Road, Woodley, Tel: 0788 093 4111 Contact details during the event: Clair Turnbull: 0788 093 4111 / Steven Richards: 0778 232 5862 (Please use these numbers in case of emergency only) Please keep this section for your own information, and detach and return the section below. Note: All activities will be run in accordance with The Scout Association’s safety Rules. No responsibility for the personal equipment/clothing and effects can be accepted by the organisers and The Scout Association does not provide automatic insurance cover in respect to such items. th Please complete and return this section to: Section Leader/Clair Turnbull by: Wed 18 April 2012 Name of young person:_____________________________________ D.o.B:_______________ Event: 1st Woodley Cub Camp, 4-7/5/2012 I have noted the arrangements above and agree to the named young person taking part. 1st Emergency contact:________________________________ Phone:_________________ 2nd Emergency contact:_______________________________ Phone:_________________ If it becomes necessary for the above named young person to receive medical treatment and I cannot be contacted to authorise this, I hereby give my general consent to any necessary medical treatment and authorise the Leader in charge to sign any document required by the hospital authorities. Signed:____________________________________________ Date:___________________ Relationship to young person:________________________________________ Please write overleaf details of the following: Any Medical Conditions, Medicines, Diets, Treatments Currently Being Taken, Special Needs or Requirements. Any known Allergies, Sensitivities, Disabilities, Cultural Needs, or any other items which may be relevant to, or affect your child’s participation in this event/activity. You also undertake to let us know of any infectious diseases he/she has been in contact with in the 3 weeks before the event. A First Aid Trained Leader may administer the appropriate minor treatment/precautions YES NO (as listed below) if required. Children’s Soluble Paracetamol Sticking plasters / Micropore and Melanine (as appropriate) Waspeze or similar Anti-Histamine (eg clarityn) dosage as recommended on the packaging ‘Burn Free’ Gel or similar Alcohol Free Wound Cleansing Wipes Saline Solution for wound cleaning or eye wash Note: The medical profession takes the view that the parent’s/carer’s consent to medical treatment cannot be delegated. This view is explicit in The Children’s Act 1989. Thus, medical consent forms have no legal status and a doctor or nurse insisting on the consent of a parent/carer to a particular treatment has the right to do so. For this reason we do not recommend that Leaders insist on parents/carers signing the statement above. However, it can be a comfort to medical staff to have general consent in advance from parents/carers or to have a Leader on hand able to sign forms required by medical authorities.