Participant’s Information Form

Participant’s Information Form
A. Medical Care
I _____________________________________________________________________________
holder of ID card # ____________ issued on ___/___/____ by the identification register in
_____________, residing at _______________________________________________________
authorise my child _______________________________________________ to participate in the
Sporting Academy Sports Camp, and declare that I authorise the camp’s staff to provide the medical
care that my child may require.
B. Visit to Alvalade Stadium
I also authorise my child _______________________________________________ to travel in the
club’s means of transport from the Sporting Academy in Alcochete to Alvalade Stadium, in Lisbon, to
visit Sporting’s Stadium and Museum, an activity included in the Sporting Academy Camp’s
programme.
C. Child’s relevant medical information
- Does the child take any medication on a regular basis?
____________________________________________________________________________
- Is the child allergic to any medication, food or other?
____________________________________________________________________________
- Does the child suffer from any chronic medical condition?
____________________________________________________________________________
D. Leaving the Academy Camp
If the participant is not to be collected by the legal guardian at the end of the Academy Summer
Camp, please fill in the following statement:
I ____________________________________________________________________________
holder of ID card # ____________ issued on ___/___/______ by the identification register in
_____________, father/mother/guardian of the participant_________________________________,
authorise that Mr./Ms. ___________________________________________ collect my child
__________________________ from the Sporting Academy Sports Camp.
Comments
__________________________________________________________________________________
______________________________________________________________________________
Imp.609 V.I. Ed.03 01/05/2013 1 / 1
On _______________________ , 2013
Parent/Legal Guardian
______________________________________

Note – This statement must be submitted in person, by the parent/guardian, on the first day of camp.
Imp.609 V.I. Ed.03 01/05/2013 1 / 1