PLEASE COMPLETE THIS FORM FOR YOUR CHILD BEFORE ATTENDING A GROWILD WORKSHOP. DON'T FORGET TO READ OUR PARENT/CARER HANDBOOK FIRST!

Child's name

First Name

Last Name

Child's DOB

YYYY

Child's address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent/ Carer name

First Name

Last Name

Parent/Carer address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

(Departures) The following adult will be collecting my child from the site

First Name

Last Name

(Allergies) My child has the following food allergy/ allergies

An Allergy Management Plan will be put in place where required

(Medical information) Please detail any medical needs your child has/ medication taken

Please provide full details, if medication is needed an additional medication consent form will need to be completed

Doctor's name/ telephone/ address

I confirm that the medical information I have supplied to GroWild is fully up to date

In the event that my child requires immediate medical treatment before I can get to the hospital I hereby authorise the staff member present to consent to any emergency medical treatment necessary to ensure the health and safety of my child on my behalf

Emergency contact telephone numbers (please include relationship to your child)

(Activities) I being the parent/ carer agree for my child to participate in the Forest School activities at GroWild

(Photography) I give permission for my child to be photographed whilst at Forest School and for these to be used in the child's achievement books, records, and press releases, website, social media or publications

(Observations) I give permission for the use of ‘Forest School Assessment/ Learning Journal’ by ‘Otherwise Solutions’.

Forest School Assessment allows us to make observations for your children where we can attach photos and videos, as well as include assessments which we can use to track children’s development and progress. If you give your consent, we will set you up an account for your child with our observations and assessments which we use for reports. We only share this information with relevant staff at GroWild, yourselves and school/care teams for your child.

(Clothing and weather) I confirm that I have provided my child with appropriate clothing, suncream, hat, insect repellant and warm and waterproof clothing layers

(Insect stings) As an additional precaution, we are required to ask you in more detail about allergies and insect stings.

Please tick the relevant statement. Please tick ONE box. If you tick the last box we will get in touch with you for further details.

My child has never been stung by a wasp/ bee

My child has been stung by a wasp/ bee and made a normal recovery

My child has been stung by a wasp/ bee and had an allergic reaction

(Sunscreen) I am happy for my child to have sunscreen applied at GroWild. I will provide a bottle of sunscreen labelled with my child's name for use at GroWild

Only relevant for spring and summer months, but please answer to ensure the form is accepted on the system

(Insect repellant) I am happy for my child to have insect repellant applied at GroWild. I will provide a bottle of insect repellent labelled with my child's name for use at GroWild

(Terms and conditions) I confirm that I have read and understood the GroWild T&C/Policies as provided in the 'Parent/Carer Handbook' link above