Professional Documents
Culture Documents
Equinox Permission Form
Equinox Permission Form
Equinox Permission Form
_______________________________________________________________________________________________________
____________________________________
I give permission for (name of child) __________________________ to attend the camp/holiday between
the (date)______________ and (date) ____________________ at (location)________________________
Parent/Guardians address during the event
Address_________________________________________________________________________________
___________________________________________ Telephone Number____________________________
Childs DOB ______________
_______________________________________________________________________________________
He/She can/cannot swim 50 metres and tread water
He/She may/may not bathe under careful supervision.
I understand that the Camp Leader reserves the right to send any participants home if the behavior of
the participant is deemed unacceptable. I also understand that if it becomes necessary for my child to
receive medical treatment and I cannot be contacted by telephone or any other means in order to
authorise this, I hereby give my general consent to any necessary medical treatment to be
administered, and authorise the Scouter in charge of the camp to sign any document required by the
hospital authorities.
Name of Parent/Guardian __________________________ Signature_________________________ Date
___________________