MEDICAL INFORMATION & CONSENT FORM

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THIS FORM MUST BE FILLED OUT BY A PARENT/GUARDIAN (unless you are one of the adult chaperones).

It is intended to assist the accompanying adult chaperones in case of a medical emergency involving a delegate.

Information will be held in confidence.

NOTE: Tetanus immunisation is normally given at five years of age (as Triple Antigen or CDT) and at fifteen years of age (as ADT)
NOTE: All medication containers must be labelled with the delegate’s name, the dose to be taken, specific storage conditions, and when it should be taken. For Customs processes, you must enquire with your doctor if it is also necessary for the delegate to carry a doctor’s letter confirming that the medication is prescribed by a registered medical practitioner. If it is necessary or appropriate for the delegate to carry his/her own medication (e.g. asthma puffers or insulin for diabetes) it must be with the knowledge and approval of both the supervising adult delegates and yourself.