Summer Playscheme 2022 Medical Form


Please fill in the Medical Form for your child to enable them to attend the 2022 Summer Playscheme

Address Line 1
Address Line 2
City
County
Country
Postcode
Please read and sign below to say you agree to the following: - I, or an authorised person over 16 will collect my child at the end of each day (all children) ** (If this presents a problem for anyone – please speak to the Playscheme Co-ordinator ** I allow staff to keep relevant confidential records ** I allow for photos to be taken for use within playscheme and for occasional publicity ** I allow my child to participate in playscheme activities including outdoor activities ** I will provide a sunhat and ensure sun cream is applied before arriving at playscheme ** Signed (by the person with the legal responsibility of the child)