Consent Form

I hereby give permission for my son / daughter* ______________ (name)  to participate in canoeing activities under the guidance of instructors approved by the Royal Kingston district of the Scout Association.

I can also confirm that my son / daughter* is a member of the scout association attending the __________________ Scout group, and can swim 50 metres in light clothing / is confident in water.

*( Please delete as appropriate )

I also approve / do not approve * of photographs of my son/daughter* being used for promotional material such as brochures/websites. *( Please delete as appropriate )

I would like the Leaders / Instructors of the club to be aware of the following medical conditions that may affect my son / daughter whilst participating in water activities. ( ie; asthma, epilepsy, nut/sting allergies )

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In the unlikely event of an accident or other emergency please contact:

Name______________________________________________
Address___________________________________________
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Postcode__________________________________________
Telephone Number(s)_______________________________
Signed    __________________________________________________________          ( Parent / Guardian )