Activity Permission Form Please return to a leader by ………………………… with the balance of activity fees.
I give permission for ………………………………………………………………………… (name of scout/cub/beaver)
to attend …………………………………………………………………………………………… (name of activity)
on………………………………………………………………………………………………………… (date)
During the activity, I can be contacted on (please give telephone numbers and times):
My scout/cub/beaver’s Doctor’s details are (name, address of surgery, contact number):
My scout/cub/beaver is currently taking the following medication (if none, say none):
My scout/cub/beaver suffers from (please give details of any general medical complaints
e.g. asthma; if none, say none):
Within the last 3 weeks, my scout/cub/beaver has come into contact with the following
infectious diseases (if none, say none):
Date of last anti-tetanus injection: …………………………………………………………………………
The following medications are currently held in the troop first aid kit. Please delete those which you do not give the leadership permission to administer if necessary:
Paracetamol, Anti-histamine, cream: Burneze, Waspeze, Suncream, Aftersun, Immodium.
Please delete any of the following which due to allergies, intolerances, religious or moral grounds your scout/cub/beaver WILL NOT eat.
Meat / Fish / Other Seafood / Dairy Products / Nuts / Gluten
Please detail any further food allergies or intolerances below:
My scout / cub / beaver can / cannot (delete as appropriate) swim 50m and tread water
My scout / cub / beaver has / has not (delete as appropriate) got permission to swim under
careful supervision.
My scout / cub / beaver has / has not (delete as appropriate) got permission to take part in water activities.
I give permission for the above undeleted medications to be administered by a warranted leader.
If it becomes necessary for my scout/cub/beaver to receive medical treatment, and it is not possible to contact me for my specific consent, I give my general permission for any necessary medical treatment, and authorise the scouter in charge of the camp to sign on my behalf any form required by the hospital authorities in the case that a medical practitioner deems the delay required to obtain my signature unwise.
I understand and agree that photographs and digital images of my child taken at the event may be used for Scout
Association publicity.
I understand that no responsibility for personal equipment/clothing and effects can be accepted by the camp organisers and
The Scout Association provides no insurance cover in respect of such items.
I understand that the 1st Ramsey Scout Leaders reserve the right to send participants home if necessary and that no
refund will be made in such circumstances.
Signed: …………………………………………………………… Date: ……………………………………
Print Name: ………………………………… Relationship to scout/cub/beaver: ……………………….
I give permission for ………………………………………………………………………… (name of scout/cub/beaver)
to attend …………………………………………………………………………………………… (name of activity)
on………………………………………………………………………………………………………… (date)
During the activity, I can be contacted on (please give telephone numbers and times):
My scout/cub/beaver’s Doctor’s details are (name, address of surgery, contact number):
My scout/cub/beaver is currently taking the following medication (if none, say none):
My scout/cub/beaver suffers from (please give details of any general medical complaints
e.g. asthma; if none, say none):
Within the last 3 weeks, my scout/cub/beaver has come into contact with the following
infectious diseases (if none, say none):
Date of last anti-tetanus injection: …………………………………………………………………………
The following medications are currently held in the troop first aid kit. Please delete those which you do not give the leadership permission to administer if necessary:
Paracetamol, Anti-histamine, cream: Burneze, Waspeze, Suncream, Aftersun, Immodium.
Please delete any of the following which due to allergies, intolerances, religious or moral grounds your scout/cub/beaver WILL NOT eat.
Meat / Fish / Other Seafood / Dairy Products / Nuts / Gluten
Please detail any further food allergies or intolerances below:
My scout / cub / beaver can / cannot (delete as appropriate) swim 50m and tread water
My scout / cub / beaver has / has not (delete as appropriate) got permission to swim under
careful supervision.
My scout / cub / beaver has / has not (delete as appropriate) got permission to take part in water activities.
I give permission for the above undeleted medications to be administered by a warranted leader.
If it becomes necessary for my scout/cub/beaver to receive medical treatment, and it is not possible to contact me for my specific consent, I give my general permission for any necessary medical treatment, and authorise the scouter in charge of the camp to sign on my behalf any form required by the hospital authorities in the case that a medical practitioner deems the delay required to obtain my signature unwise.
I understand and agree that photographs and digital images of my child taken at the event may be used for Scout
Association publicity.
I understand that no responsibility for personal equipment/clothing and effects can be accepted by the camp organisers and
The Scout Association provides no insurance cover in respect of such items.
I understand that the 1st Ramsey Scout Leaders reserve the right to send participants home if necessary and that no
refund will be made in such circumstances.
Signed: …………………………………………………………… Date: ……………………………………
Print Name: ………………………………… Relationship to scout/cub/beaver: ……………………….
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