Live.egl.tv

European Gaming League (8) Manchester
Parental/Guardian Consent Form

Event Information
Event: European Console League - Manchester
Venue: Event City, Phoenix Way, Barton Dock Road, Urmston, Manchester M41
Event Managers: Glen Elliot, Chris Marsh and Daniel Kynaston
Health Information

This section should be completed by the parent or guardian of the young person concerned.
Please answer all the following questions as fully as possible. In the event of them requiring
emergency treatment, it will help the medical authorities in deciding which is the most
appropriate treatment to give.
(Please complete in BLOCK CAPITALS)
Surname:
Forenames:Family Doctor’s Name and Address:Telephone:Parent/Guardian’s Normal Address:Telephone:Alternative:The nominated first aiders provided by Event City may administer the appropriate minor treatment/precautions (as listed below) if required.
Other specific ailments :On the continuation sheet provided at the end of the document please give details of the following if necessary:1.
Any known infectious diseases with which they have been in contact, within the three weeks previous to the signing of this form (e.g. chicken pox, diphtheria, measles, mumps, rubella, whooping cough, etc.). Any known allergies/sensitivities/disabilities and details of any known precautions or remedies (e.g. penicillin, food colourings’, travel sickness, bed-wetting, asthma, etc.). Details of any medicines/diets/treatments currently being taken/followed (include dosage details) and the specialist and hospital concerned if appropriate (please include any non-prescription preparations, such as cough sweets, herbal medicines). (If he/she has to take any medicine’s, the bottle(s), jar(s) or other items should be clearly labelled with their name and the exact dosages, and an event organizer informed on arrival) 2.

Please indicate on the continuation sheet whether the young person has a history of
photosensitive epilepsy that the staff of the European Console League should be made aware
of.
Parental/Guardian Consent

I hereby give permission for the young person named above to attend the European Gaming
League Manchester event at the aforementioned event venue.
If it becomes necessary for them to receive medical treatment and I cannot be contacted
by telephone or any other means to authorize this, I hereby give my general consent to any
necessary medical treatment and authorize Event City nominated first aiders, to sign any
document required by the hospital authorities.
I acknowledge that the young person may view content certified above their age and discharge
all responsibility from Xseries if the young person goes out of their way to view it. Xseries has
endeavoured to reduce the likelihood of this occurrence though and all sustainable measures
have been taken to ensure content is appropriate.
Name of Parent/Guardian:

Source: http://live.egl.tv/wp-content/uploads/2012/09/EGLConsentForm2.pdf