Parental Consent Form

	Please complete ALL sections:
Sailor's: First name
Surname
Home address
Date of birth
Age at the time of sailing
Is the participant able to swim 25m YES/NO
Name of parent/carer
Relationship to child
Telephone (home)
Mobile
Name of adult responsible for child during sailing event
Relationship to child
Contact number during sailing if different to above
Please indicated YES or NO if you are happy to be added to a WhatsApp group

Email address*

example@example.com

Medical Information: it is your responsibility to make known any disability / allergies / medical condition that may affect your child during the activity, and any medication that they may require. This information will be shared with those responsible for supervising the activity. Has your child ever suffered from any of the following conditions: asthma / bronchitis, heart condition, fits, fainting or blackouts, severe headaches, diabetes? *

MEDICAL INFORMAITON? if YES, please provide details, including any specific medical advice to be followed in an emergency. If NO, please write N/A

Is your child currently taking any medication? *

ANY MEDICATION? If YES, please specify, If NO, please write N/A

Did your child have a tetanus vaccination? If so when?*

TETANUS? YES/NO please indicate date if known

Is your child suffering / recovering from any injuries which may affect their sailing? *

RECOVERING FROM INJURIES: If YES please provide details, If NO, please write N/A

Does your child have any special dietary needs or food allergies?*

DIETARY REQUIREMENTS? If YES, please provide details, if NO, please write N/A

Does your child have a disability, learning disability or medical condition which may affect their learning (ie ability to participate in practical or theoretical sessions)?*

LEARNING DISABILITY? If YES, please provide details, if NO, please write N/A

Does your child need extra support? *

EXTRA SUPPORT REQUIRED? If YES, please provide details, if NO, please write N/A

Medical consent

I give permission to the organisers of activities during sailing events in 2024 to administer any relevant treatment or medication to the above-named participant when or if necessary.

In an emergency situation I authorise the organisers to take my child to hospital and give my full permission for any treatment required to be carried out in accordance with the hospital’s diagnosis. I understand that I shall be notified, as soon as possible, of the hospital visit and any treatment given by the hospital.

Consent for use of images

I grant to the organisers without payment the right in perpetuity to make, use and show any motion pictures, still pictures and live, taped or filmed television of or relating to the event. I understand that the only permitted identification of the child will be by name; persons taking photographs/videos must be prepared to identify themselves if requested and state their purpose for photography/filming.

Any concern about inappropriate or intrusive photography or the inappropriate use of images should be reported to the following:

RSYC Designated Safeguarding Officer via secretary@royalsolent.org

Do you consent to photography / videos being taken and published in accordance with the Notice above:*

Yes I consentNo I do not consent

Do you consent to your details being included in the RSYC mailing list in accordance with the Notice above, please tick here:*

Yes I consentNo I do not consent

I agree to notify the RSYC of any relevant changes in my child's circumstances.

I confirm that my child is not under a court order.

Declaration of parent or person with legal responsibility:
I, the parent/carer hereby acknowledge that I have read this Parental Consent Form and that I fully understand it; I have explained it to my child who understands and agrees to abide by it.

Signature (junior sailor - please use your mouse to write your signature)

Signature (parent / guardian - please use your mouse to write your signature)

2025 Parental Consent Form

To be completed for participants under the age of 18, please complete all sections.