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    Girlscout of The Philippines: Basista National High School Basista, Pangasinan

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    Lj Cortez Cagunot
    This document contains two consent forms for a Girl Scouts camp. The first is a parent/guardian consent form allowing their daughter to attend the Junior, Senior, and Cadet saranay camps and Thinking Day celebration. It releases the Girl Scouts from responsibility for any accidents beyond their control. The second form is a health examination form collecting the camper's health history and any restrictions or encouraged activities, to be signed by a licensed physician.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Girlscout of The Philippines: Basista National High School Basista, Pangasinan

    Uploaded by

    Lj Cortez Cagunot
    49 views3 pages
    This document contains two consent forms for a Girl Scouts camp. The first is a parent/guardian consent form allowing their daughter to attend the Junior, Senior, and Cadet saranay camps and Thinking Day celebration. It releases the Girl Scouts from responsibility for any accidents beyond their control. The second form is a health examination form collecting the camper's health history and any restrictions or encouraged activities, to be signed by a licensed physician.

    Original Description:

    PARENT CONSENT

    Original Title

    GSP PARENT CONSENT

    Copyright

    © © All Rights Reserved

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    This document contains two consent forms for a Girl Scouts camp. The first is a parent/guardian consent form allowing their daughter to attend the Junior, Senior, and Cadet saranay camps and Thinking Day celebration. It releases the Girl Scouts from responsibility for any accidents beyond their control. The second form is a health examination form collecting the camper's health history and any restrictions or encouraged activities, to be signed by a licensed physician.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    49 views3 pages

    Girlscout of The Philippines: Basista National High School Basista, Pangasinan

    Uploaded by

    Lj Cortez Cagunot
    This document contains two consent forms for a Girl Scouts camp. The first is a parent/guardian consent form allowing their daughter to attend the Junior, Senior, and Cadet saranay camps and Thinking Day celebration. It releases the Girl Scouts from responsibility for any accidents beyond their control. The second form is a health examination form collecting the camper's health history and any restrictions or encouraged activities, to be signed by a licensed physician.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    GIRLSCOUT OF THE PHILIPPINES

    BASISTA NATIONAL HIGH SCHOOL


    BASISTA, PANGASINAN

    PARENTS/ GUARDIAN CONSENT FORM

    This is to permit/ allow my daughter ___________________________________of

    BASISTA NATIONAL HIGH SCHOOL to attend the Junior Saranay, Senior and Cadet

    saranay Camp & Thinking Day Celebration 2019 I have considered the benefits that

    my daughter will derive from her participation in this activity with the understanding

    that every precaution is to be taken to ensure her safety in this activity.

    I shall not hold the Girl Scouts of the Philippines or its representative

    responsible for any untoward accident that may happen beyond their control.

    __________________________
    Signature of parent/ guardian
    Overprinted name

    Date signed: ____________________________


    GIRLSCOUT OF THE PHILIPPINES
    BASISTA NATIONAL HIGH SCHOOL
    BASISTA, PANGASINAN

    HEALTH EXAMINATION FORM

    NAME: _______________________________________________

    Health History:
    (check giving approximate dates)
    Frequent colds: _____________________________________________________
    Kidney trouble: _____________________________________________________
    Chicken pox: _______________________________________________________

    Abscessed ears:
    _____________________________________________________
    Convulsions: _______________________________________________________
    Mumps: ____________________________________________________________
    Fainting: ___________________________________________________________
    Sleep walking: ______________________________________________________
    Whooping cough: ___________________________________________________
    Frequent sore throat: ________________________________________________
    Measles: ___________________________________________________________
    Sinusitis: ___________________________________________________________
    Heart troubles: ______________________________________________________
    Bronchitis: _________________________________________________________
    Stomach upsets: ____________________________________________________
    Rheumatic fever: ____________________________________________________
    Constipation: _______________________________________________________
    Tuberculosis: _______________________________________________________
    Operations or serious injuries: ________________________________________
    Allergic reaction: ____________________________________________________
    Penicillin: __________________________________________________________
    Other drugs: (specify): _______________________________________________
    Details of the above or additional info:
    ___________________________________________________________________
    ___________________________________________________________________

    Any specific activities to be encourage?


    ___________________________________________________________________

    Restriction: _________________________________________________________
    Please notify the camp if this restriction is exposed to any communicable
    disease prior to camp attendance.
    ___________________
    Licensed physician

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