Adventure Playground users registration form
All the information provided on this form will be shared between all four Adventure Playgrounds, and appropriate Council staff responsible for the management of Playgrounds, and therefore only one registration form will be required.
Please be aware that under the Children’s Act (date), we are obliged to report any concerns regarding child protection/ safeguarding to the relevant authority. Information is confidential and is only used with the safety of your child in mind.
Your child must be between 8 and 16 years old
Main emergency contact Required
Doctors Surgery and address
Enter your child's doctor's address. Enter the postcode and click 'Find address' or click 'Enter manaully'
Has your child any of the following: (please tick if "YES")
Illnesses, conditions or allergies
If you have selected any of the above, please provide more detail about the condition otherwise enter 'none':
Is your child on medication? Please provide details or enter 'na' if not applicable:
Please note that if a child suffers illness or injury at this Adventure Playground and the parent(s) or guardian(s) of the child cannot be contacted immediately, either by telephone or otherwise, then the Adventure Playground staff will make speedy arrangements for the appropriate care of the child.
This may, of course, involve arranging for an ambulance to come to the scene of the illness or injury.
Equal opportunities monitoring
We are constantly looking to improve our service and our playgrounds are working towards being accessible to all children including those with special needs. To help us deliver the service as effectively as possible, we ask you to complete this monitoring section of the form.
Dacorum Borough Council has a clearly stated equal opportunities policy and warmly welcomes all people.
Please fill in and tick boxes where appropriate on the following information:
Please complete the validation below: