SDBC Medical and General Consent Form (Youth)

Your Details

Participant Details

Parent or Guardian Details (1)

Parent or Guardian Details (2)

Child Protection and Safety Information

SDBC is committed to the safety and holistic wellbeing of all children and young people involved in our events. The ensure that children and young people are kept safe from harm, our staff and volunteers are required to possess a current blue card; agree to adhere to the code of conduct when working with children; and undergo training in child safety. SDBC takes child protection and safety seriously and consequently has policies and procedures in place to ensure that your child has the best possible experience with us.

I consent to appropriate use by SDBC of photographs/videos involving my child.

I consent to a leader communicating directly with my child within the SDBC child protection guidelines and social media guidelines.

I consent to my child travelling in a volunteer driver’s car within SDBC Safe transport Practice for Volunteer Drivers.

My child consents to behave in an appropriate manner as well as respecting and following the instructions of leaders.

Emergency Contact (must be over 18) (1)

Emergency Contacts (must be over 18) (2)

Medical & Dietary


Medical Information


If your child is taking medication during one of our events please provide it in a blister pack from the pharmacy with details of the medication, dosage and name clearly labelled. You must also fill out the medication chart (see ministry leader) and this must be completed for each event your child attends.


Every attempt will be made to cater for each individuals dietary requirements. However, in very rare cases our cooks will not be able to cater to all your dietary needs. If this happens you will be contacted and be asked to provide more information about your allergies and may be asked to provide some additional food. Please contact us if you have any concerns.


Are there any Family, behavioural or medical conditions which require special attention we should know about?

Emergency Treatment

In the event of an emergency, the person in charge will follow appropriate first aid procedures, assessing whether medical intervention is required (ambulance, hospital, etc.). All necessary steps will be followed to ensure that the most appropriate action is taken. This includes:

- The person in charge of the event communicates with a parent/guardian wherever possible.

- The person in charge following recommendations from the medical form where provided.

Parents/Guardians will be responsible for any costs incurred where medical treatment is deemed necessary.

Confirmation of Details