Volunteer Cadet Corps

1. Activity Details*

Unit*

Activity 1 name*

Activity 1 date*

Activity 2 name

Activity 2 date

Activity 3 name

Activity 3 date

2. Cadet Details*

First Name*

Surname*

Date of Birth*

Home Address*

Home Postcode*

Phone Number*

3. Medical Details*

GP name*

GP Address*

GP Postcode*

GP Phone Number*

Does the participant suffer from: Allergies; Asthma; Epilepsy; Diabetes; Heart Condition; Skin Conditions (e.g. Eczema); Recurring Headaches. Please select from which conditions the participant suffers:*

Allergies

Asthma

Epilepsy

Diabetes

Heart Condition

Skin Conditions (eg Eczema)

Recurring Headaches

None

Other

If Other, please specify

Please provide further details on the conditions selected above *

Is the participant currently taking any medication?*
This includes prescription medication, inhalers, and any over-the-counter medicine (including hayfever tablets)

Yes

No

Other

Please provide details of medication*

Does the participant have any current or previous recent medical treatment or conditions?*

Yes

No

Other

Please provide details of any current or previous medical treatment or conditions*

Does the participant have any special dietary needs?*

Yes

No

Other

Please provide details on dietary needs*

4. Contact Details*

Please provide information about one of the child's parents or principal guardian.

First Name*

Surname*

Email Address*

Mobile Phone Number*

Relationship to Participant*

Are the emergency contact details the same as the parent / guardian details provided above?*

Yes

No

First Name

Surname

Email Address

Mobile Phone Number

I consent to video and photographic images being taken of the participant during this activity, in line with VCC and MOD policy.*

I give consent

I do not give consent

Consent to receive paracetamol*

I give consent for the participant to be offered paracetamol upon the advice of a First Aider

I do not give consent for the participant to be offered paracetamol

By ticking this box, and inserting my name below, I confirm that I have read, understood, and agree, to the above statements, and that I give consent for my child/ ward to participate in this activity.*

Parent / Guardian Full Name*

Activity Consent Forms

Ready to get started?

1. Activity Details*

2. Cadet Details*

3. Medical Details*

4. Contact Details*