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DofE Gold Consent Form 2021
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DofE Gold Consent Form 2021
DofE Gold Consent Form 2021 (Years 12 & 13)
DofE Gold Consent Form 2021 (Years 12 & 13)
First Name
*
Surname
*
Initials
*
Date of Birth
*
Gender
*
Address
*
Post Code
*
Home Telephone Number
*
Emergency Telephone Number
*
Please state any allergies e.g. aspirin, antibiotics, foods etc.
*
Please explain any illness (including asthma), condition or disability
*
Explain any contact with any contagious diseases in the past month
*
Explain any injuries during the past month
*
Please state any medication that has currently been prescribed or being used
*
Is your child immunised against Tetanus? (please state the approximate date)
*
Doctor's Name
*
Doctor's Address
*
Doctor's telephone number
*
I confirm my child is willing to participate in the DofE Gold award level scheme
*
In the event of illness or injury I agree to authorise members of staff during the course to consent on my behalf for an anaesthetic to be administered or any other urgent medical treatment upon the advice of a qualified medical practitioner
*
I give permission for my child to be photographed yes/no
*
I give permission for my child's photo to be placed across Knole Academy's social media channels
*
Name of parent/guardian
*
Signature of parent/guardian
*
Date
*
Submit
In this Section
Curriculum Intent
Teaching & Learning
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Year 7 Netball
Year 8 Netball
Year 9 Netball
Year 10/11 Netball
Yrs 7 & 8 Girls Football
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All Years Cross Country
Year 7 Boys Football
Yr 8 Boys Football
Yr 9 Boys Football
Yr 10 Boys Football
Yr 7 Boys Basketball
Year 9 Boys Basketball
Yr 7 Boys Rugby
Yr 9 Boys Rugby
CCF Year 10 Enrollment Information 2021
DofE Bronze Consent Form 2021
DofE Silver Consent Form 2021
DofE Gold Consent Form 2021
Year 11 Triple Science Revision Event - Wednesday 3 November 2021 15:15-17:15 (by appointment only)
Reporting and Assessment
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