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Wildcub (child) medical form
Participant information - these records help to ensure the safety for all at Wildcat Forest School and must be completed before your child can attend a session.
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* Indicates required question
Child's first name (s)
*
Your answer
Child's surname
*
Your answer
Child's Date of Birth
*
MM
/
DD
/
YYYY
Medical condition/s
*
Your answer
Preventative medication to be carried/easily accessible . (asthma inhalers, epipens, antihistamines)
*
Your answer
Does your child have any allergies?
*
Your answer
Parental consent for administration of medication in absence of parent/carer?
*
Yes
No
Following a phone call
Other:
(1) Parent/carer full name
*
Your answer
Parent/carer email address
*
Your answer
(2) Parent/carer full name
Your answer
Primary contact phone number
*
Your answer
Secondary contact phone number
*
Your answer
I confirm that I have read the terms and conditions sent to me by email
*
Yes
Required
Parental consent for use of digital media of your child in Wildcat social media and marketing
*
Yes
No
Other:
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