Get in touch

Please drop us a line using the form opposite or ring us on 01872 885779 

Name *
Name

Park Farm
Truro
TR1 1SX

+44 (0) 1872 885779

Inspiring and educating children about sustainability and the natural environment through exciting hands-on experiences including school camp, summer camp, workshops and forest school. Based in Cornwall, our focus is green education, and our mission is to reconnect and engage children with the natural world, inspiring them to live more sustainably. 

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Climbing Session Consent & Medical Form

climbing session consent and medical form

Please complete and submit the form below.  

Contact details
Parent/Guardian Name 1 *
Parent/Guardian Name 1
Parent/Guardian Name 2 *
Parent/Guardian Name 2
Your child/ren
Child date of birth *
Child date of birth
Please provide details of relevant medical history, medical conditions and medication which your child will require during camp
Permissions
Consent to take part in activities
Please check the box below to confirm you understand that the activities to be undertaken involve an element of risk (which is managed according to the risk assessment available on request) and you accept them as part of each activity's enjoyment.
Consent to emergency medical treatment
Camp Kernow will contact you before the commencement of any medical treatment, unless your child's condition is such that immediate treatment is required before contact with you can be made. Please check the box below to confirm you authorise Camp Kernow to consent to any X-ray, examination, anaesthetic, diagnosis, treatment, and/or hospital care that may be recommended for your child/ren by a licensed physician or dentist.
Consent to administer medication
Please check the box below to confirm your authorisation of Camp Kernow staff to administer first aid and (where applicable) your child/ren's prescription medication as prescribed by a physician.
i certify that the above information is correct to the best of my knowledge
Please use this box to share with us any further information or send a message to accompany your booking.
Please type your name in full and check the box below to confirm.
*