Medical and Consent Form

Additional Notes
Clothing – Children should bring a towel and swimsuit. Children are encouraged to wear only swimwear. Board shorts and T shirts are not permitted, unless when asked to bring in for survival skills. All clothing, shoes and towels should also be clearly labeled.

Hair – Girls are requested to wear long hair securely tied back or in a swim cap.

Goggles –Goggles will be provided for your child but please clearly label these & bring them every day as a second pair will not be provided. Goggles will not be loaned out due to health reasons.

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    Child’s Details:

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    Medical History Details (Please attach a separate sheet if required.)

    Asthma/sinus/hay-fever
    Other respiratory problems
    Epilepsy
    Recent operations/injuries/illness
    Medication details and dosages (if any)
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    Other Info

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    Permission

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    Parent's Contact

    Best way to contact you with further information about timing, transport, etc.
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