PC Camp MEDICAL CONSENT FORM 2023

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Moor Lane House, Moor Lane, Sarratt, WD3 6BU Sunday 28th May - 1st June 2023
Please complete a separate Medical Consent form for each member by the 1st April 2023

LIABILITY All reasonable precautions will be taken for the safety of your child and pony. The Committee of the OBH North Branch of the Pony Club and the landowners accept no liability for loss, damage or injury to persons, property or livestock, howsoever caused.

Please answer the following questions

Email *

Members Full Name & Age as of January 2023

Horse / Pony Name , Age & Height

We have a NO NUT policy at camp, please tick to state you have understood it is a NUT FREE zone .

Yes understood

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If you feel there is any additional information or underlying conditions that we need to be aware of to ensure we can offer appropriate support please comment here or speak to Cath in person.

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