{"id":280,"date":"2023-03-09T00:39:06","date_gmt":"2023-03-09T00:39:06","guid":{"rendered":"https:\/\/flysheet.org\/?p=280"},"modified":"2023-12-22T09:53:16","modified_gmt":"2023-12-22T09:53:16","slug":"flysheet-camp-medical-form","status":"publish","type":"post","link":"https:\/\/flysheet.org\/index.php\/2023\/03\/09\/flysheet-camp-medical-form\/","title":{"rendered":"Flysheet Camp Medical Form"},"content":{"rendered":"<p><span id=\"page3R_mcid1\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\"><a href=\"https:\/\/flysheet.org\/wp-content\/uploads\/2023\/03\/Medical-form-2018.pdf\">Download medical form<\/a><\/span><\/span><\/p>\n<p>Dear Parent \/ Guardian<span id=\"page3R_mcid2\" class=\"markedContent\"><\/span><span id=\"page3R_mcid3\" class=\"markedContent\"><br role=\"presentation\" \/><span dir=\"ltr\" role=\"presentation\"><br \/>\nIn order for us to provide the best care possible while you child is with us please fill in the following details. The information<\/span> <span dir=\"ltr\" role=\"presentation\">on this form will kept confidential and will only be seen by the<\/span> <span dir=\"ltr\" role=\"presentation\">Children\u2019s Secretary, Camp Organiser and your child\u2019s<\/span> <span dir=\"ltr\" role=\"presentation\">assigned staff member.<\/span><\/span><span id=\"page3R_mcid4\" class=\"markedContent\"><\/span><span id=\"page3R_mcid5\" class=\"markedContent\"><\/span><span id=\"page3R_mcid6\" class=\"markedContent\"><br \/>\n<br role=\"presentation\" \/><span dir=\"ltr\" role=\"presentation\">Name<\/span> <span dir=\"ltr\" role=\"presentation\">&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;<\/span><\/span><span id=\"page3R_mcid7\" class=\"markedContent\"><\/span><span id=\"page3R_mcid8\" class=\"markedContent\"><br role=\"presentation\" \/><span dir=\"ltr\" role=\"presentation\">Address<\/span> <span dir=\"ltr\" role=\"presentation\">&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;<\/span><\/span><span id=\"page3R_mcid9\" class=\"markedContent\"><\/span><span id=\"page3R_mcid10\" class=\"markedContent\"><br role=\"presentation\" \/><span dir=\"ltr\" role=\"presentation\">&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;<\/span><\/span><span id=\"page3R_mcid11\" class=\"markedContent\"><\/span><span id=\"page3R_mcid12\" class=\"markedContent\"><br role=\"presentation\" \/><span dir=\"ltr\" role=\"presentation\">Date of Birth<\/span> <span dir=\"ltr\" role=\"presentation\">&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;<\/span><\/span><span id=\"page3R_mcid13\" class=\"markedContent\"><\/span><span id=\"page3R_mcid14\" class=\"markedContent\"><\/span><span id=\"page3R_mcid15\" class=\"markedContent\"><br role=\"presentation\" \/><span dir=\"ltr\" role=\"presentation\">Attending the camp from<\/span> <span dir=\"ltr\" role=\"presentation\">&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;<\/span> <span dir=\"ltr\" role=\"presentation\">to<\/span> <span dir=\"ltr\" role=\"presentation\">&#8230;<\/span><span dir=\"ltr\" role=\"presentation\">..<\/span><span dir=\"ltr\" role=\"presentation\">&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.<\/span><\/span><span id=\"page3R_mcid16\" class=\"markedContent\"><\/span><span id=\"page3R_mcid17\" class=\"markedContent\"><br role=\"presentation\" \/><span dir=\"ltr\" role=\"presentation\">1.<\/span> <span dir=\"ltr\" role=\"presentation\">Is there any specific medical condition of which we should be aware of?<\/span><\/span><span id=\"page3R_mcid18\" class=\"markedContent\"><br role=\"presentation\" \/><span dir=\"ltr\" role=\"presentation\">(e.g. asthma, allergies, bedwetting, migraine, fits or any other illness of disability.)<\/span><\/span><span id=\"page3R_mcid19\" class=\"markedContent\"><\/span><span id=\"page3R_mcid20\" class=\"markedContent\"><br role=\"presentation\" \/><span dir=\"ltr\" role=\"presentation\">&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..<\/span><\/span><span id=\"page3R_mcid21\" class=\"markedContent\"><\/span><span id=\"page3R_mcid22\" class=\"markedContent\"><br role=\"presentation\" \/><span dir=\"ltr\" role=\"presentation\">&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..<\/span><\/span><span id=\"page3R_mcid23\" class=\"markedContent\"><\/span><span id=\"page3R_mcid24\" class=\"markedContent\"><br role=\"presentation\" \/><span dir=\"ltr\" role=\"presentation\">2.<\/span> <span dir=\"ltr\" role=\"presentation\">Are they receiving any medical treatment at present?<\/span> <span dir=\"ltr\" role=\"presentation\">Yes<\/span> <span dir=\"ltr\" role=\"presentation\">No<\/span><\/span><span id=\"page3R_mcid25\" class=\"markedContent\"><br role=\"presentation\" \/><span dir=\"ltr\" role=\"presentation\">If yes please give details<\/span> <span dir=\"ltr\" role=\"presentation\">&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.<\/span><\/span><span id=\"page3R_mcid26\" class=\"markedContent\"><\/span><span id=\"page3R_mcid27\" class=\"markedContent\"><br role=\"presentation\" \/><span dir=\"ltr\" role=\"presentation\">&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..<\/span><\/span><span id=\"page3R_mcid28\" class=\"markedContent\"><\/span><span id=\"page3R_mcid29\" class=\"markedContent\"><br role=\"presentation\" \/><span dir=\"ltr\" role=\"presentation\">3.<\/span> <span dir=\"ltr\" role=\"presentation\">Date of last anti-tetanus injection if known.<\/span><\/span><span id=\"page3R_mcid30\" class=\"markedContent\"><\/span><span id=\"page3R_mcid31\" class=\"markedContent\"><br role=\"presentation\" \/><span dir=\"ltr\" role=\"presentation\">&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..<\/span><\/span><span id=\"page3R_mcid32\" class=\"markedContent\"><\/span><span id=\"page3R_mcid33\" class=\"markedContent\"><br role=\"presentation\" \/><span dir=\"ltr\" role=\"presentation\">4.<\/span> <span dir=\"ltr\" role=\"presentation\">Name and address of family doctor.<\/span> <span dir=\"ltr\" role=\"presentation\">&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;<\/span><\/span><span id=\"page3R_mcid34\" class=\"markedContent\"><\/span><span id=\"page3R_mcid35\" class=\"markedContent\"><br role=\"presentation\" \/><span dir=\"ltr\" role=\"presentation\">&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..<\/span><\/span><span id=\"page3R_mcid36\" class=\"markedContent\"><\/span><span id=\"page3R_mcid37\" class=\"markedContent\"><br role=\"presentation\" \/><span dir=\"ltr\" role=\"presentation\">5.<\/span> <span dir=\"ltr\" role=\"presentation\">Name, address and phone no of emergency contacts (please include relationship to child)<\/span><\/span><span id=\"page3R_mcid38\" class=\"markedContent\"><\/span><span id=\"page3R_mcid39\" class=\"markedContent\"><br role=\"presentation\" \/><span dir=\"ltr\" role=\"presentation\">&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..<\/span><\/span><span id=\"page3R_mcid40\" class=\"markedContent\"><\/span><span id=\"page3R_mcid41\" class=\"markedContent\"><br role=\"presentation\" \/><span dir=\"ltr\" role=\"presentation\">&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..<\/span><\/span><span id=\"page3R_mcid42\" class=\"markedContent\"><\/span><span id=\"page3R_mcid43\" class=\"markedContent\"><br role=\"presentation\" \/><span dir=\"ltr\" role=\"presentation\">6.<\/span> <span dir=\"ltr\" role=\"presentation\">Please sign the declaration below:<\/span><\/span><span id=\"page3R_mcid44\" class=\"markedContent\"><\/span><span id=\"page3R_mcid45\" class=\"markedContent\"><br \/>\n<br role=\"presentation\" \/><span dir=\"ltr\" role=\"presentation\">I will inform<\/span> <span dir=\"ltr\" role=\"presentation\">Flysheet if &#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.. comes into contact with any infectious illnesses (German Measles,<\/span><br role=\"presentation\" \/><span dir=\"ltr\" role=\"presentation\">Measles etc) during the 3 weeks prior to camp. I will hand any medicines to the Flysheet representative. I will ensure<\/span><br role=\"presentation\" \/><span dir=\"ltr\" role=\"presentation\">there is sufficient medication for the camp.<\/span><\/span><span id=\"page3R_mcid46\" class=\"markedContent\"><br role=\"presentation\" \/><span dir=\"ltr\" role=\"presentation\">In the event of illness or accident requiring emergency hospital treatment, I authorise a Flysheet Staff Member to sign on<\/span> <span dir=\"ltr\" role=\"presentation\">my behalf any written form of consent required by the hospital authorities, if the delay required to obtain my own consent<\/span> <span dir=\"ltr\" role=\"presentation\">is considered inadvisable by the doctor concerned.<\/span><\/span><span id=\"page3R_mcid47\" class=\"markedContent\"><\/span><span id=\"page3R_mcid48\" class=\"markedContent\"><\/span><span id=\"page3R_mcid49\" class=\"markedContent\"><br \/>\n<br role=\"presentation\" \/><span dir=\"ltr\" role=\"presentation\">Parent\/Guardian &#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..<\/span> <span dir=\"ltr\" role=\"presentation\">Date &#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..<\/span><\/span><span id=\"page3R_mcid50\" class=\"markedContent\"><\/span><\/p>\n<div id=\"outerContainer\">\n<div id=\"mainContainer\">\n<div id=\"viewerContainer\" tabindex=\"0\">\n<div id=\"viewer\" class=\"pdfViewer\" lang=\"en-GB\">\n<div class=\"page\" role=\"region\" data-page-number=\"1\" aria-label=\"Page 1\" data-loaded=\"true\">\n<div class=\"annotationEditorLayer\" tabindex=\"0\" data-main-rotation=\"0\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"dialogContainer\"><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Download medical form Dear Parent \/ Guardian In order for us to provide the best care possible while you child is with us please fill in the following details. The information on this form will kept confidential and will only be seen by the Children\u2019s Secretary, Camp Organiser and your child\u2019s assigned staff member. Name&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14,10],"tags":[],"class_list":["post-280","post","type-post","status-publish","format-standard","hentry","category-documents","category-parent_info"],"_links":{"self":[{"href":"https:\/\/flysheet.org\/index.php\/wp-json\/wp\/v2\/posts\/280","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/flysheet.org\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/flysheet.org\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/flysheet.org\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/flysheet.org\/index.php\/wp-json\/wp\/v2\/comments?post=280"}],"version-history":[{"count":3,"href":"https:\/\/flysheet.org\/index.php\/wp-json\/wp\/v2\/posts\/280\/revisions"}],"predecessor-version":[{"id":290,"href":"https:\/\/flysheet.org\/index.php\/wp-json\/wp\/v2\/posts\/280\/revisions\/290"}],"wp:attachment":[{"href":"https:\/\/flysheet.org\/index.php\/wp-json\/wp\/v2\/media?parent=280"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/flysheet.org\/index.php\/wp-json\/wp\/v2\/categories?post=280"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/flysheet.org\/index.php\/wp-json\/wp\/v2\/tags?post=280"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}