1 Liss Scout Group - Record Update 2012-13 - 1st Liss Scout Group

1st Liss Scout Group - Record Update 2012-13 Event:

Section Meetings

Location:

1

Activity:

Section Program

st

Dates:

1 Sep 2012 – 30 Sep 2013

Liss Scout hut and Liss village during section meeting.

Note: All activities will be run in accordance with The Scout Association’s safety Rules. No responsibility for the personal equipment/clothing and effects can be accepted by the organisers and The Scout Association does not provide automatic insurance cover in respect to such items.

Full Name of young person: Section

Beavers

D.o.B:  Cubs

 Scouts

Normal place of residence of Young Person (only required if different from Next of Kin below) Address

Postcode

Contact Information: Next of Kin Contact (Where the section leader will normally contact Next of Kin during section meetings} Name Address

Telephone Numbers Landline Mobile E-mail Address

Postcode Alternative Contact (The person the section leader should contact if nominated Next of Kin is not available) Name Address

Telephone Numbers Landline Mobile E-mail Address

Postcode

In an effort to be environmentally friendly and keep running costs to a minimum the group will me sending the majority of communications by e-mail or through messages on the website www.1stLissScouts.org.uk. In accordance with Scout Association Policy e-mails will be sent to the first Next of Kin e-mail address. Please ensure that the section leader is kept informed of any changes to your contact details. If you have not completed a Gift Aid Form or a Photo Form, Please download from http://www.1stlissscouts.org.uk/members-area and return with this form.

Medical and Safety Information Full Name of young person:

D.o.B:

Is he/she able to swim 50 metres and stay afloat for five minutes in light clothing?

 Yes  No

Doctor’s name and contact details: Doctor

Address (if not in Liss)

 Riverside Kelsey Surgery  Hill Brow Surgery  Other (Please include Address) Details of any disabilities, conditions, special needs or cultural needs that might affect participation in meetings

Details of any medications regularly being taken:

Any special dietary requirements? (For example, Vegetarian, dairy/nut free)

I agree to the above named young person taking part in Group Section meetings and I understand that the Section Leader reserves the right to send any participants home if deemed necessary. If it becomes necessary for the above named young person to receive medical treatment and I cannot be contacted to authorise this, I hereby give my general consent to any necessary medical treatment and authorise the Leader in charge to sign any document required by the hospital authorities. Signed: Name:

Date: Relationship to young person: Please attach a separate sheet of paper if more space is required

Note: The medical profession takes the view that the parent’s/carer’s consent to medical treatment cannot be delegated. This view is explicit in The Children’s Act 1989. Thus, medical consent forms have no legal status and a doctor or nurse insisting on the consent of a parent/carer to a particular treatment has the right to do so. For this reason we do not recommend that Leaders insist on parents/carers signing the statement above. However, it can be a comfort to medical staff to have general consent in advance from parents/carers or to have a Leader on hand able to sign forms required by medical authorities.

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