№ lp_2_3_45265
Consent form authorising camp supervisors of Hyde Street Youth Band Inc. to obtain emergency medical treatment for festival attendees and recording personal and health information for the Bright Alpine Brass Festival held 14th–16th May 2021.
Event: Bright Alpine Brass Festival
Event dates: 14th–16th May 2021
Document type: Emergency medical consent form
Organising body: Hyde Street Youth Band Inc.
Purpose: Authorisation for emergency medical treatment
Applicable to: Children and adults attending the festival
Required information: Attendee name, Medicare number, family sequence number, expiry date, date of birth, ambulance membership number
Parent/Guardian details: Names, phone numbers, mobile numbers, email addresses
Health information: Allergies, dietary requirements, medical conditions, current medication, dosage and frequency
Medication consent: Permission for administration of analgesics (paracetamol or equivalent)
Submission email: [email protected]
Submission deadline: 5.5.21
Authorisation: Signatures of Parent/Guardian 1 and Parent/Guardian 2
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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