Hong Kong Pony Club Medical Consent Form
General Camp and Activity Medical Release
1 September 2019 - 31 August 2020
Name of Child
HKID number or passport number of participant
Please put in the following format: A123456(7)
Does the child have any allergies?
YES (please give details)
Allergies (if any)
Type of Allergy
Medications and other precautions (if any)
Please give as much detail as possible
1st Contact in case of EMERGENCY
2nd Contact in case of EMERGENCY
Parental Consent for Medical Attention in Case of Emergency
I agree that my child (named above) has permission to attend Hong Kong Pony Club Camps and Events. All above information is correct and most up to date
I agree that my child/children (named above) have permission to be given first-aid medical attention based on the situation.
I give consent for my child to be taken to hospital in case of an injury that requires medical attention beyond first-aid. Should the HKPC not be able to reach the emergency contacts in a timely manner, I give consent for my child to be taken to the nearest hospital ER for immediate care.
Parental Consent for Medical Aid
I agree to the above and certify that I have given all responses to the best of my knowledge in the interest of my child
Full Name of Legal Guardian
Signature of Legal Guardian
Should be Empty: