Edinburgh Rugby Camps Consent Form

Thank you for booking a place at our camp - we look forward to welcoming your child.

Which Edinburgh Rugby Camp is your child attending?(Required)

Participant Information

Participant first name(Required)

Participant last name(Required)

Gender(Required)

Date of birth(Required)

Age Group/School Year (based on school year just completed)(Required)

Which rugby club or school does your child currently play for?(Required)

Parent/Guardian Contact Details

Parent/Guardian full name(Required)

Parent/Guardian phone number(Required)

Parent/Guardian email(Required)

Parent/Guardian address

Medical Information

Doctor's name(Required)

Doctor's phone number(Required)

Doctor's address

Would you consider your child to have a disability?(Required)

If yes, please provide details including any assistance your child may require

Does your child suffer from any medical conditions requiring medical treatment?(Required)

If yes, please provide details

Does your child self-administer their required medication?(Required)

If no, please note that the parent/guardian must remain within the facility should the child require assistance.

Does your child suffer from any allergies (i.e foods, medicines etc)?(Required)

If yes, please provide details

Has your child been concussed within the last year?(Required)

If yes, please provide details of when and how long out they spent out of contact rugby.

Agreements

Please confirm the below(Required)

Select All

I consider that my child is in good health and capable of taking part in these activities.

In the event of an emergency, I consent to any emergency medical / dental treatment to include the use of anesthetics that my child may require prior to my arrival

I agree to notify Edinburgh Rugby staff of any changes to the information given on this parent / guardian consent form for the duration of the sessions

I agree to my child being filmed or photographed with the possibility that these might be used for publication and/or publicity.

I agree to my child taking part in activities organised by Edinburgh Rugby staff

I confirm that all of the information above is correct.

Edinburgh Rugby Camps Consent Form

Participant Information

Parent/Guardian Contact Details

Medical Information

Agreements

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