Loco Parentis - Sussex County

Loco Parentis form for Pathway Camps

This form must be completed before each camp.

By completing the form you are also giving permission for the Team Manager to give the immediate necessary authority on your behalf for any medical or surgical treatment recommended by competent medical authorities, where it would be contrary to your son/daughter’s interest, in the doctor’s medical opinion, for any delay to be incurred by seeking your personal consent. Please answer all the questions on this form and submit it before the camp.

Please check the box below to confirm that you have read and understood the loco parentis statement

I have read and understood the loco parentis statement

Swimmer’s first name

Swimmer’s last name

Swimmer’s date of birth

Swimmers age as at 31 December 2026

Parent or guardian’s first name

Parent or guardian’s last name

Preferred phone number

Preferred Email

Please check one of the boxes below to tell us if your swimmers has any medical or neurodiversity conditions that the team managers should be aware of. Please ensure that you provide your swimmer with all necessary medication to treat their condition.

There are NO medical considerations.

There are medical considerations.

Please use this area to tell the coaches and team managers about any medical conditions or neurodiversity issues (such as ADHD) that may need appropriate support.

Please use this space to tell us about any other issues we should be aware of.

Sussex County

Amateur Swimming Association

Loco Parentis form for Pathway Camps