Woodcraft folk Woodcraft Folk Training Course Registration Form for under 18s This form must be completed by a parent or carer before a child or young person can participate in Woodcraft Folk training activities. Course Title: Date: Train to Train Mentors Day 11 June 2011 Venue: Folk Office, Units 9/10 83 Crampton Street, London, SE17 3BQ Child’s/young person’s contact & personal details Child’s/young person’s Name Child’s/ young person’s date of birth & Age at date of event Address Telephone (home & mobile) Email Parent or carer’s contact details Name Relationship with child/ young person Address Telephone (home, work & mobile) Email Please inform group leaders if the child is subject to any particular care arrangements or court orders and give guidance on how they should deal with any conflicts between parents/carers concerning participation in Woodcraft Folk activities. Generic Training Registration Form (Under 18s)_Jul 2009 Chaperone contact details Name Relationship with child /young person Telephone (home, work & mobile) Medical information Name & address of child’s / young person’s Doctor Doctor’s telephone Details of any recurring illness e.g. diabetes, asthma Details of any medication to be taken Details of any allergies e.g. food, medicine Additional support needs Details of any additional support or access needs Specify dietary requirements including any items your child should not eat Is there anything else you feel may be useful Any other relevant information Woodcraft folk, Units 9 & 10, 83 Crampton Street, London, SE17 3BF General Secretary: Kirsty Palmer Registered charity number 1073665 T: +44 (0)20 7703 4173 F: +44 (0)20 7358 6370 E: info@woodcraft.org.uk W: www.woodcraft.org.uk Consent I, …………………………………………………………….have read and understood the activity information and hereby give my consent for……………………………................. to take part in Woodcraft Folk training activities. I understand the extent and limitations of the insurance cover provided. I also agree that a similar activity may be substituted if changes to the programme are forced by safety, external events or weather conditions. In the event of an accident I consent to: A Woodcraft Folk member/first aider administering any necessary first aid treatment My child being taken to hospital and receiving any treatment necessary I agree that my child may appear in publicity items generated at the training event e.g. newspaper articles, photographs, websites. I agree that my child will travel independently to and from the training event I agree to my child’s contact information being shared with training group members I agree to the above information being retained securely. This information will only be shared if necessary to safeguard a child e.g. with a medical professional. (Delete as appropriate) Signed Relationship to Child or young person Date Please return form to: Contact person Return address Tel Email Woodcraft folk, Units 9/10, 83 Crampton Street London, SE17 3BF, UK A registered charity in England and Wales (1073665) and in Scotland (SC039791) T: +44 (0)20 7703 4173 F: +44 (0)20 7358 6459 E: info@woodcraft.org.uk W: www.woodcraft.org.uk