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DofE Gold Consent Form 2024
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DofE Gold Consent Form 2024
DofE Gold Consent Form 2024 (Years 12 & 13) https://www.dofe.org/do/basicinformation/
DofE Gold Consent Form 2024 (Years 12 & 13) https://www.dofe.org/do/basicinformation/
First Name
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Surname
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Initials
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Date of Birth
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Gender
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Address
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Post Code
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Home Telephone Number
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Emergency Telephone Number
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Please state any allergies e.g. aspirin, antibiotics, foods etc.
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Please explain any illness (including asthma), condition or disability
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Explain any contact with any contagious diseases in the past month
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Explain any injuries during the past month
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Please state any medication that has currently been prescribed or being used
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Is your child immunised against Tetanus? (please state the approximate date)
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Doctor's Name
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Doctor's Address
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Doctor's telephone number
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I confirm my child is willing to participate in the DofE Gold award level scheme
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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
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I give permission for my child to be photographed yes/no
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I give permission for my child's photo to be placed across Knole Academy's social media channels
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Name of parent/guardian
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Signature of parent/guardian
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Date
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Volunteering activity - What are they planning on doing? Where it is occurring? Who will the assessor be (not related to child)? and either an email or phone number for the assessor
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Physical activity - What are they planning on doing? Where it is occurring? Who will the assessor be (not related to child)? and either an email or phone number for the assessor
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Skills activity - What are they planning on doing? Where it is occurring? Who will the assessor be (not related to child)? and either an email or phone number for the assessor
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CCF Year 10 Enrolment Information 2023
DofE Bronze Consent Form 2024
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DofE Gold Consent Form 2024
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