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Ariel Joining Form OLD DONT USE
Student's Full Name
Student's DOB
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Parents Name
Parents Email
Parents Phone
Emergency Contact Name
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Medical Information
Has your son/daughter had any serious illness, operation or accident in the last year? If so, please give details.
Has he/she had any illness during the past year? If so please give details.
Does he/she have any difficulty with a) hearing or b) eyesight
Are you aware of any problems of fainting attacks, tendency to nose bleeds etc, or allergies.
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No
Does your child require any medicines, or special treatment about which the Organisation should be informed? If yes, please give details with instructions/actions that need to be taken in the event of an incident.
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