26 August 2022 | No Comments Personal DetailsThis form is to be filled in by the parent/guardian of the named cadet.NumberRankNameDetachmentPerson TypeAdultCadetNext of Kin Contact DetailsThese are the individuals who will be the default point of contact in an emergency and therefore it is essential they are correct.NameRelation to Cadet / CFAVEmail AddressDaytime Phone NumberEvening / Weekend Phone NumberStreet AddressCityState/ProvinceZIP / Postal CodeAlternative Next of Kin DetailsNameRelation to Cadet / CFAVEmail AddressDaytime Phone NumberEvening / Weekend Phone NumberStreet AddressCityState/ProvinceZIP / Postal CodeDietary RequirementsAny dietary requirements for cadets can only be catered for if they are known in advance of an activity. Please list any requirements below.Dietary RequirementRemarksDietary RequirementRemarksDietary RequirementRemarksFactors Affecting ActivityThe Army Cadet Force do not discriminate on grounds of physical or educational ability. The only reason an individual should be excluded is if in the Cadet Forces feel that they are unable to guarantee the safety and wellbeing of all the cadets and CFAVs participating, CFAVs are not trained carers. Most activities can be tailored to the level of ability of the individual but there may be some activities that are not achievable, this decision will be made on a case by case basis. To ensure that activities are tailored correctly and the safety and wellbeing of yourself can be ensured, the question below must be answered honestly and frankly:Which of the following statements best describes you? (Please tick one)Adult/Cadet is able to take part in all cadet force activities with no limitations because either: (1) I have no current disability/medical issues/educational need; and or, (2) my disability/medical issues/educational needs will not affect my performance in cadet activities and does not place me (or other CFAV/cadets) at risk if the CFAVs on an activity are not aware of it.Adult/Cadet is able to take part in all cadet force activities but I have a disability/medical issue/educational need that the activity organiser should be aware of because either: (1) My performance in the activities may be limited; and or, (2) my condition means I am slightly more at risk than an individual in the first category.There are no specific cadet force activities that Adult/Cadet will be unable to take part in due to my disability/medical issues/educational needs.If you selected either the second or third category please give details on the continuation sheet.Continuation SheetIf you selected either category 2 or 3 above please give details below1a. Disability/Medical Issue/Educational Needs1b. How will this affect you during cadet activities?1c. How can the Cadet Forces help with this during cadet activity?2a. Disability/Medical Issue/Educational Needs2b. How will this affect you during cadet activities?2c. How can the Cadet Forces help with this during cadet activity?3a. Disability/Medical Issue/Educational Needs3b. How will this affect you during cadet activities?3c. How can the Cadet Forces help with this during cadet activity?4a. Disability/Medical Issue/Educational Needs4b. How will this affect you during cadet activities?4c. How can the Cadet Forces help with this during cadet activity?Medical Consent Form ACF Certificate for Attending Activities1. I certify to the best of my knowledge that the above named cadet is fit to attend and that all the information on this form is accurate and up to date. The cadet is not suffering from an infectious disease (e.g. measles)and that I will inform Wiltshire ACF should there be contact with any case of infectious disease during the 3 weeks prior to camp.2. I understand that withholding essential medical information may prevent the cadet from attending unit activities. (Please note whilst minor ailments can be dealt with anything that prevents them from taking part in the activities may require them to be collected and taken home).3. I authorise the ACF Commandant (or in their absence the senior of their representatives present) to give permission for the above named cadet to receive emergency medical care. (Every effort will be made to contact you for your consent should the cadet need to receive any emergency dental, medical or surgical treatment (including anaesthetic) as considered necessary. However, it may not always be possible).GP's DetailsPractice NameDoctor's NamePhoneStreet AddressCityZIP / Postal CodeMedical Details4. If the above named cadet suffers from any medical condition, the training staff must be aware of it to allow the correct precautions and actions to be taken. Answering the following questions will assist with this:VaccinationsAre the cadet's childhood immunisations up to date, in line with current DoH guidelines on childhood immunisation schedule - https://www.gov.uk/government/collections/immunisationYesNoRemarksDate of anti-tetanus?RemarksMedical Conditions5. Does the cadet suffer from any of the below conditions? Please delete as appropriate.AsthmaYesNoRemarksChest ComplaintsYesNoRemarksWheezing or hay feverYesNoRemarksMigraineYesNoRemarksFitsYesNoRemarksFaintsYesNoRemarksBad period painsYesNoRemarksNervous disordersYesNoRemarksAny other (provide details)YesNoRemarksMedical treatment6. If the cadet is currently undergoing any medical treatment (including taking medication) please complete the information below. It is of paramount importance that cadets on medication who attend camp must be responsible and mature enough to be able to self-medicate. Daily parades will take place to remind cadets of their medication. When, was the last time the named child suffered severely from one of the conditions mentioned in paragraphs 5 or 6 of this form?DateInsert date of last episodeConditionTreatmentRemarks (including frequency of medication)Over the counter medication7. The following over the counter medication may be available if required. Please indicate which may be used for the above named cadet.PlastersYesNoRemarksSkin and scalp symptoms (Bite and sting creams)YesNoRemarksEye and Mouth Symptoms (Eye drops and Sore throat)YesNoRemarksCoughs, Colds and Flu (Double action pain relief or Ibuprofen) (Pain relief and anti-inflammatory)YesNoRemarksStomach Symptoms (Travel sickness (tablets) and sickness/bloating)YesNoRemarksAllergy/Hay Fever (Anti-histamine (tablets))YesNoRemarksBowel Symptoms (Abdominal cramps, acute diarrhoea)YesNoRemarksPain Symptoms (Paracetamol or Ibuprofen)YesNoRemarksSunscreenYesNoRemarksAfter SunYesNoRemarksNameDateDate Form completedSignatureBy submitting this form you agree that all the details above (and on the continuation sheet) are correct to the best of you knowledge and that you will inform the Cadet Force if there is any change in your personal circumstances.NOTE: WHEN COMPLETED THE INFORMATION ON THIS FORM WILL BE HELD IN CONFIDENCESubmit FormSave as Draft