LFYFC Parental Consent Form

LFYFC Parental Consent Form
This form is to be completed by the Parent or Guardian of the member named below who is under 18 years of age on (please select date) Date* . It gives consent for that member to attend the named competition/event/activity and the responsibility for the supervision of that member to a named individual, when the parent is not attendance. If you as the parent are attending please complete sections 1, 3 and 4 of this form, if your child is attending with a supervising adult please ensure they (the supervising adult) completes section 2. LFYFC will take responsibility for ensuring the safe running of all it's events by working with the venue management, volunteers and staff. Member’s attendance will be in accordance with the NFYFC Safeguarding Policy. In the event of an accident or concern arising involving a member under the age of 18, LFYFC will liaise with the parent or the named individual who is supervising the member. Details on this form will be held securely and will only be shared with volunteers, staff or other organisations that may need this information in order to meet the specific needs of your child

Section 2 - Parent/Guardian details
Full Name
Relationship to member
Phone Number
Format: 00000000000.
Email address
Section 3 - Details of the adult nominated by the parents/guardian to supervise the member named above

This section to be completed if the parent/guardian themselves will not be attending the event. To be completed by the supervising adult
Full Name
Mobile Number
Membership number
Relationship to the U18 member
Signature
Date

DayMonthYear
Date

Section 4 - Photography Permissions

This section to be completed by the parent/guardian
As part of the YFC activities, pictures and videos are used for the legitimate interest of the organisation which includes promotional activity and the publishing of competitions results. Official event photography and video from the event will include your child unless there are safeguarding or other reasons why you do not wish your child’s photograph to be used, please indicate this below. All events will display information regarding the capturing of images and who to speak to if there are any concerns during an event. No images will be sold but may be used for external press and news features. All images will be kept for use for a limited time and then only for historical and reference purposes.

Section 5 - Information and Emergency Contact Details

This section to be completed by the parent/guardian
The medical information overleaf is correct to the best of my knowledge and in the event of illness or accident requiring hospital treatment I understand that the responsible person at the event will make every effort to contact me. In emergency doctors/surgeons will make the decision regarding the necessary treatment without my consent. I have read and understood the attached information and hereby give my consent for my child to take part in this event. I understand that the YFC member insurance policy is available on request. I am aware that while the adults in charge of the event will take all reasonable steps to protect all participants from harm, they cannot necessarily be held responsible for any loss, damage or injury suffered during or as a result of the activity.
Parent/Guardian Signature
Date

MonthDayYear
Date
Emergency Contact Details
Name

First NameLast Name
Phone Number
Format: 00000000000.
Phone Number
Format: 00000000000.
Name

First NameLast Name
Phone Number
Format: 00000000000.
Phone Number
Format: 00000000000.
I understand that I have a responsibility to inform LFYFC prior to the event of any changes to this information. If this form is completed incorrectly LFYFCmwill contact you to ascertain the relevant information.
Should be Empty:

Section 1 - Details of the U18 member