Child & Parent/Guardian Details
Address of parent/guardian
Emergency contact details (2 contacts required)
If no please enter address
If no please enter address
Please state any other information you think would be useful to us? i.e disabilities or allergies
Doctor/healthcare information
Child's medical information
Are there any disabilities or special needs we need to know about?
Is your child on any current medication e.g antibiotics etc?
Does your child have any ongoing medical conditions such as asthma or Hay Fever that require medication?
Does your child have any other concerns such as fear of dogs, fear of water or bedwetting?
Does your child have any special diet needs, any foods that need to be avoided?
Any Medication should be handed to the Session Leader and it will be supplied when needed if the medication needs to be carried your child this must be agreed upon with the organisers.
Education/school information
All information will be kept confidential; we cannot accept responsibility for any information not declared.
I, the Parent/Guardian declare all information is correct
Please sign:
We would like to ask for your permission for your child’s / children’s photo to be taken at any of our sessions or trips out.
The photos may be used on our website or in our Olly Literature.
All information will be kept confidential; we cannot accept responsibility for any information not declared.
I, the Parent/Guardian declare all information is correct
I give my permission for my child’s photo to be taken at any Olly sessions:
Please click the box below that best describes your child’s ability to swim:
SESSION / DAY TRIPS / HOLIDAYS
We arrange various session days for your child to participate in as part of the O.L.L.Y project.
Please sign:
1. No foul language will be aimed at anyone within our charity.
2. No abusive language to be aimed at anyone within our charity.
3. No threatening or abusive behaviour towards anyone within our charity.
4. No physical abusive behaviour towards anyone within our charity.
If my child/children do any of the above, I understand that my child will only be given one warning before we will be called into a meeting with the charity to discuss matters.
I will treat anyone within the charity with respect.
Please sign:
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