I understand that my *son/daughter/ward intends to participate in water activities organised by Lakeside Leisure. I further understand that insurance policies are held by Lakeside Leisure covering their respective legal liabilities but that no compensation for personal injury or loss sustained by participants will be payable for accidental injury where no liability on the part of Lakeside Leisure exists.

I give permission for my son/daughter/ward to join in water oriented activities
*She/he can swim 25 metres in light clothing.

*She/he is in good health and has no illness or physical disability which necessitates constant medical treatment. (We need to know of any medication that your child may carry/need to take whilst on site.)

I know that* she/he will be instructed to wear a lifejacket or buoyancy aid (and crash - hat when sailing up to junior stage 3 and whilst raft building) and that the event will be under qualified supervision.

In the event of an emergency I can be contacted on (Telephone No.).............................................

DATE ......./........./ 10 signed ............................................................(Parent/Guardian)

Relationship to participant ......................................................................................................................

STUDENT NAME.................................................................................................................................
(Block capitals please.)

ADDRESS ;

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* Delete Where Applicable