Parental Consent Form

To be completed by a parent, carer or legal guardian of under 18’s

How many children will be attending? *

Child 1

First Name *

Last Name *

Date Of Birth *

Age

Emergency Details

1st Emergency Contact Name *

Relationship *

Contact Number *

2nd Emergency Contact Name *

Relationship *

Contact Number *

Additional Information

GP's Name *

GP's Contact Number *

Details of any known allergies or conditions we should be aware of in case of emergency?

Terms & Conditions

In the unlikely event of illness or accident, I give permission for any appropriate first aid to be given by the appointed first aider in an emergency. Should it be necessary for my child to be tranferred to hospital, I am willing for my child to be given emergency treatment as required. I understand every effort willl be made to contact either emergency contact listed above as soon as possible.

Please acknowledge *

Throughout the session we may take photographs to use for future publicity/marketing. If you give permission for us to take photographs of your child please tick this box (photographs will never be labelled with children’s names).

I give permission

Please note we will hold the data above in a password protected spreadsheet to be used in case of emergencies only. No information will be passed on to third parties. If you fill in other people’s contact information we assume that you have got their permission to do this.

I accept *

Consent Form

Parental Consent Form

Child 1

Child 2

Child 3

Emergency Details

Additional Information

Terms & Conditions