TS Connect Teen Registration • Teenstreet UK

Sign up for TeenStreet Connect

MEDICAL CONSENT

Please complete all questions in this next section. Please ensure you have updated us if anything changes ahead of the event.

Please list allergies (foods, medications, or environment) and give any relevant details of reactions and treatment:

Please list any special dietary requirements or intolerances:

Please list any medical conditions or health concerns you feel we may need to know. Please email us at contact@teenstreet.uk before submitting your application to discuss any special access requirements

Is there anything else you feel we should know to enable us to fulfil our duty of care during TeenStreet Mini event?

In an emergency and if I am not contactable, I am willing for my teen to receive medical or dental treatment, including an anaesthetic

Yes No

I am willing for my teen to receive First Aid treatment as necessary.

Yes No

I give permission for my teen to take part in the event and agree to them taking part in the activities as arranged by the organisers. I understand that they will be under the care of Operation Mobilisation staff, and volunteers accepted by OM. I confirm that my teen is in good health, and I consider them fit to take part.

Yes No