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100 Years of Scouting in Emsworth
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Permission to Camp Form
Please complete all the details on the permission form.

Select which group section you are completing it for eg Beavers, Cubs Scouts Explorers.

Please notify us of any infectious diseases in the last 2 weeks eg Norovirus, Diarrhoea.

Declaration: 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.

*indicates required fields 
  *Childs Name:
  *Address:
  *Email:
  *Emergency Phone:
  Medication required:
  Special Dietary Requirements:
  Special requirements - other:
  *Scout Section - please select:
  Any infectious diseases:
  *Declaration confirmation:  I give permission for emergency care
  Camp:  Beaver Sleepover
 Cub Camp
 Scout Camp
 Explorer Camp
  Camp type:

After filling the details click on the SUBMIT button.
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