S.B.C Youth - Parental and Medical Form

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This form must be completed by a parent/guardian in order for their child to participate in the groups, events and activities of SBC Youth.

This form will be used from July 2020 to July 2021 for all regular groups with a supplementary form being used to gain consent for the child to attend additional trips/events. This means that if any information changes you must inform someone within the youth team.

Email *

Full name of the child *

Date of birth *

YYYY

Address *

Postcode *

Telephone numbers *

Young person's registered GP name and address

GP's telephone number *

Does the child suffer from any allergies, if yes please give details *

Does the child have any medical conditions of which we should be aware of? *

Does the child have any disability of which we should be aware of? *

Does the child take any medication? *

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