Permission to camp Please detach and return to akela Name ................................................... Address................................................. ........................................................ Post code...................Tel ............ Date of birth .......................................... Name and address of doctor ............................. ........................................................ ........................................................ ........................................................ National health number ................................. Does your son suffer from any allergies or sensitivities? ........................................................ ............................................... ........................................................ ............................................... Has he any disabilities the leaders should be aware of e.g. travel sickness, asthma, hay fever, bed wetting, fits, dyslexia. ................................................................... Has he been immunised against tetanus within the last 3 years? Yes / No Does he have any food dislikes? ........................ ............................. ........................................................ I hereby give permission for my son to attend cub camp on the 1st – 3rd February. If my Son falls ill or has an accident during camp which requires emergency medical treatment and I cannot be contacted in advance I authorise a warranted scout leader to give on my behalf, any consent required by a doctor or hospital to administer any treatment considered necessary. Contact No over weekend (If different from above).................... Signed................................................ Date...........................