Register
 

Young Person Name *

First Name

Last Name

Medical Treatment Authorisation *

Being the parent or legal guardian I understand that I will be notified in the case of medical emergency. However in the event that I cannot be reached, I authorise the calling of a doctor and the providing of necessary medical services in the event that my young person is injured or becomes ill. I understand that Camp Kiah will not be responsible for medical expenses incurred on the basis of this authorisation. I also understand that the trainer(s) from Camp Kiah reserve the right to restrict this young person from any activity that they do not feel is within the physical capabilities of the young person. I have been made aware of the risks inherent in this activity and understand that this consent form covers the camp on the above date.

I give permission for my young person to be given, by staff qualified in first aid, the following non-scheduled medication (that is, medication available at the supermarket), if required.

Consent for Camp *

Being the parent or legal guardian of the young person named above, I do hereby consent to the participation of this young person in the camp activities conducted by Camp Kiah. I certify that this young person is physically fit and adequately prepared to participate in this activity.

I / We on my / our behalf and on behalf of the young person accept the application and all the terms and conditions contained therein.