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Notice to Parents/Guardians

Thank you for dedicating your time to fill out this form. Gathering accurate and comprehensive information is crucial for us to ensure the utmost safety and well-being of our young adventurers throughout the upcoming expedition.

We kindly request that you complete this form with honesty and precision, based on your best knowledge.

Additionally, we ask that you visit the Online Scout Manager platform to verify that all participant details are current and correct. It's important to confirm the accuracy of these details on OSM by using the designated confirmation button. Please ensure that all information has been reviewed and confirmed as accurate within the last two months prior to our departure.

Participants details

Full Name(Required)

First Middle Last

Participants date of birth(Required)

DD slash MM slash YYYY

Participants NHS,

NHS Number of participant(Required)

Primary Parent/Guardian Information

Name(Required)

First Last

Parental Consent(Required)

I consent to the particpant taking part in this event.

I hereby give my consent for the participant named above, for whom I have parental responsibility, to participate in the international trip organised by 6th Gosport Scouts. I understand that this trip will involve travel abroad and authorise the Scout leaders to act in the best interest of my child, including arranging necessary medical treatment in the event of an emergency.

Relationship to participant(Required)

Contact N.o(Required)

Email(Required)

Alternative contact n.o

Emergency Contact

An emergency contact is required in the event we are unable to reach yourself, to ensure we can quickly reach a responsible adult in case of urgent situations, such as illness, injury, or unforeseen circumstances during the trip. This contact provides vital support and helps us act in the best interest of the participant at all times.

Name(Required)

First Last

Relationship to participant(Required)

Contact N.o(Required)

Alternative contact n.o

Medical History

Please enter Nill or N/A if the question does not apply to you.

Does the participant have any chronic illnesses or conditions? (e.g., asthma, diabetes) If yes, please specify.(Required)

Is the participant currently under medical treatment for any conditions? If yes, please specify.(Required)

List of all medications the participant is currently taking, including dosage and frequency.(Required)

Does the participant have any allergies (food, medication, insects, etc.)? If yes, please specify.(Required)

Has the participant had any major illnesses, surgeries, or hospital stays in the past year? If yes, please describe.(Required)

Is the participant up to date with vaccinations? Please list any recent vaccinations.(Required)

Please confirm you are aware that if any medication is required, itq must be supplied in the original packaging or prescribed bottles with labels, this allows the leadership team to check the doses and ensure administering of medication is done correctly.(Required)

Yes we will supply all required medication in original packaging with prescription labels attached.

Dietary Requirements

Does the participant have any dietary requirements(Required)

Yes

Please outline the participants dietary requirements

Mental Health Information

This section will not affect the participant’s ability to take part. However, it is crucial that we are informed of any mental health concerns or ongoing assessments to ensure we can provide the highest level of care and support throughout the event.

Does the participant have/is under investigation for any mental health conditions that might affect their participation in the expedition? (e.g., anxiety, depression) Is Yes please specify.(Required)

Is the participant currently receiving therapy or treatment for mental health issues? If yes please give brief outline of treatment being received.(Required)

Any additional information

Is there any other physical, medical or psychological information that might be important for the safety and well-being of the participant during the expedition? (If yes please state.)(Required)

Are there any special instructions or concerns parents/guardians wish to communicate to the expedition leaders. (If yes please state.)(Required)

For example this could be small things that can make situations worse, i.e certain smells or noises, or could be things/items or possessions that they find comforting. An important date/anniversary taking place whilst away etc.

Final consents

I give my consent for the participant to take part in all activities during the expedition.(Required)

I agree

All activities are run under Scouting Policy Organisation and Rules and are fully insured and regulated

I give my consent for emergency medical treatment to be administered to the participant if I cannot be reached in a timely manner.(Required)

I agree

Do you give consent for administering over-the-counter medications if needed (specify any restrictions)(Required)

Yes

Yes but with restrictions

No - Please contact me first

Such as paracetamol, bite creams etc

Yes with the following restrictions

I give consent for the sharing of relevant medical information with appropriate expedition leaders or medical personnel if requried.(Required)

I agree

Sensitive and medical information will only be shared with leaders who require access to it, and all information will be handled in accordance with current guidelines and regulations.

I have completed this form accuratley and to the best of my knowledge.(Required)

I agree

Sensitive and medical information will only be shared with leaders who require access to it, and all information will be handled in accordance with current guidelines and regulations.

This field is for validation purposes and should be left unchanged.

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Summer Solstice Hike

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Cubs Summer Solstice Hike

Notice to Parents/Guardians

Participants details

Participants NHS,

Primary Parent/Guardian Information

Emergency Contact

Medical History

Dietary Requirements

Mental Health Information

Any additional information

Final consents

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External Links

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Contact Us

Acorn Cl, Gosport, PO13 0DA

07921 556483

admin@team6th.org

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Summer Solstice Hike

For more info on KIJ, click here

Cubs Summer Solstice Hike

Notice to Parents/Guardians

Participants details

Participants NHS,

Primary Parent/Guardian Information

Emergency Contact

Medical History

Dietary Requirements

Mental Health Information

Any additional information

Final consents

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