For the OPEN WATER ACTIVITY DAY

You will need:

 

  • Health form (Next page of attachment).
  • Swimming costume, wet suit if you have one.
  • Trainers/wet suit shoes to be worn in the lake
  • Flip flops/trainers to be worn around the lake.
    • (footwear should be worn at all times around the centre).
  • Towel
  • Any medication that you need
  • Hat & sun lotion (hopefully) Rain coat
  • Warm dry clothes including hat
  • Deck chair (there is no seating provided at the camping area)
  • BBQ and Drinks included in the cost

 

 


GENERAL HEALTH FORM   Please Copy onto a document and print out.

Please add any additional information to back of form.  Any spare inhalers or epipens should be given to the First Aider for the activity

FULL NAME  
ADDRESS  
   
DATE OF BIRTH  
FAMILY DOCTOR  
ADDRESS  
   
Do You Suffer from any medical condition?  
Are you allergic to anything?

 

 
Are you taking medication?

 

 
Any other relevant information.

 

 

 

 

IN AN EMERGENCY YOU SHOULD CONTACT
NAME  
RELATIONSHIP  
ADDRESS  
   
TELEPHONE HOME  
TELEPHONE MOBILE  
ALTERNATIVE EMERGENCY CONTACT
NAME  
RELATIONSHIP  
ADDRESS  
   
TELEPHONE HOME  
TELEPHONE MOBILE  

 

 

Signed________________________________________________________

Parent /carer if under 16