Medical Consent Form Page 2

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Please provide any special dietary
requirements and the type of pain/flu
medication that may be given.
Parental Consent (to be signed for competitors under 18 years)
I, __________________________________________________________________
being parent/guardian of the above named child hereby give permission for the Team Manager to give
the immediate necessary authority on my behalf for any medical or surgical treatment recommended by
competent medical authorities, where it would be contrary to my son/daughter’s interest, in the doctor’s
medical opinion, for any delay to be incurred by seeking my personal consent.
Name:
____________________________________
Signature
____________________________________
(consent by parent/guardian)
Date
________________
NB. Please note that a young person can give their own consent for medical
treatment if they are over 16 (in the UK).

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