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CCF - DofE Canoeing GOLD

Gender*

DIETARY INFORMATION
Please indicate your child's dietary requirements (All MOD dining facilities serve Halal food).

Dietary requirements

MEDICAL INFORMATION
I understand that the nature of cadet training involves some implied risk, which I
entrust the staff empowered to deliver the activities to be keep as low as reasonably
practicable. I am aware that they may participate in physically arduous activities
which include mountaineering, paddlesports, biking and sailing, as part of the
adventurous training.

Furthermore, I am aware that it is my duty and recognise the importance of advising
the CCF of any medical condition and any medication which they may have been prescribed, that may affect my child's involvement in such activities.

School medical records are up to date*

*If you have answered NO to this statement, please notify the school immediately of any changes to be made. In the interim please add any relevant information in the 'Additional medical information' box below. The CCF will not be held responsible for
updating your child's school medical record, you must do this. Any details supplied on this form, will be used for the duration of this activity only.

I consent to my child being given emergency medical treatment as deemed necessary by a competent medical practitioner, including anaesthetic and blood transfusion (any disagreements/contradictions to this statement, please specify in
the 'Additional medical information' box below).

Emergency Medical Treatment*

SWIMMING
Certain activities including canoeing, kayaking, rafting and sailing may take place in still and/or white water.

Can your child swim 50 metres wearing light clothing?*
Swimming ability*

IMAGES
For the purposes of promoting the CCF, sometimes photographs and video are
taken of cadets participating in cadet-related activities. These images may be used
to promote the organisation in print, on the internet and in the media. Unless separate and specific permission has been obtained for a publication or
presentation, they will not be named in any final production. Do you consent to your child appearing in photographs/video undertaking cadet related activities?

Consent to photographs/video*

COST
The combined cost of the DofE Gold Canoeing is £900, which includes the Gold participant place, both practice and assessed expeditions, travel, accommodation/camping and food etc. Your child will also need to bring a small amount of money with them to buy: food and drink during travel, and any extra souvenirs or shopping items they might wish to purchase (notwithstanding when actually on the assessed phase).

The cost of taking part in the CCF DofE Gold Canoeing can be split across 1, 2 or 3 payments via Freemen's termly invoices or Glyn's ParentPay.

I consent to paying £900 over:*

PASSPORT DETAILS
Please enter your child's passport details in the spaces below, ensuring that the details are correctly entered (any errors that you have made inputting the details, may result in additionally charges levied by the airline and subsequently passed on to you):

EUROPEAN HEALTH INSURANCE CARD (EHIC) DETAILS
Please enter your child's EHIC information in the spaces below:

PARENTAL CONSENT
I understand that my child will be under the control of a qualified member of staff at all times. I am aware that I will be responsible for any costs incurred if my child has to be returned home due to misbehaviour.

Consent to enrolling on to the CCF DofE Gold Canoeing level*

For details on how your data is used and stored please visit:
www.freemens.org/privacy

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