Year 10 Hidden Creek camp form - The Southport School

YOUR SON HAVE ANY SPECIAL DIETARY REQUIREMENTS? (PLEASE DETAIL) DOESYOUR SON HAVE ANY MEDICAL CONDITIONS OF WHICH ‘FIRST AID’ STAFF SHOULD BE AWARE? (PLEASE DETAIL) DOESTHE EVENT OF AN EMERGENCY PLEASE PROVIDE THE FOLLOWING DETAILS.CONTACT PERSON EMERGENCY PHONE NUMBER INNAME SIGNATURE DATE PARENTMEDICAL AND DIETREQUIREMENTS FOROUTDOOR EDUCATION.(RETURN TO HEALTH CENTRE)STUDENT NAME:(MUST CIRCLE ONE)YOU CONSENT TO NON PRESCRIPTION MEDICATIONS BEING ADMINISTERED TO YOUR CHILD AS REQUIRED? (I.e. panadol) DOYES / NOLIMITEDGOODEXCELLENTLIST ANY REGULAR MEDICATIONS THAT YOUR SON REQUIRES, AND ITS DOSAGE. PLEASEYOU DESCRIBE YOUR SONS SWIMMING ABILITY AS: WOULDUNABLE 50m 100m