Golf Centre Holiday Programme - December 2023
Monday, 18 December to Thursday, 21 December 2023  -  Cost $260 for 4 days

Please complete this form as permission for your child to participate in the Golf Centre, St Peter's Cambridge Holiday Programme. If you have more than one student attending, please complete a form for each student.

It should be realised that this event does contain some element of risk. This risk is countered by carefully structured and sequenced activities, and by supervising with suitably competent staff.  It is important that students follow any instructions given to them and follow the few rules imposed on them.  It should also be realised that because of the changeable and unpredictable nature of this event that the risk can never be reduced to zero.

I delegate my parental authority and responsibility to the coaches/instructors involved, and in the event of accident or illness, I authorise any medical assistance and treatment as necessary.

I understand that my child must bring any prescribed/required medication (Epipen, Ventolin and antihistamines etc) along with an action plan in a named zip lock bag and advise the coaches where this is kept in the event of an emergency.,
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Email address
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Consent
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Student Name
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Student Age
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Does your child have any of the following medical conditions?
Is your child's tetanus injection up to date?
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Is your child taking medication?
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Does your child have any dietary requirements or food allergies that our staff need to be aware of?
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Is your child allergic to any of the following - insect bites, penicillin or other allergies?
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If your child has allergies, please provide further detail and management plans?
Contact Details
Parent / Caregiver name.
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Parent / Caregiver contact number.
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Parent / Caregiver Email.
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Secondary Parent / Caregiver Emergency name.
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Secondary Parent / Caregiver Emergency phone number.
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Secondary Parent / Caregiver Emergency email.
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