LiFT CIC Session Consent Form

LiFT CIC

Community Football Consent Form
Rules of Respect:

By completing and signing this form, I agree that I will abide by these rules:
- No racist, sexist or abusive language or behaviour.
- No smoking during or around the sessions.
- No drinking alcohol or taking drugs during the sessions.
- No Weapons
- No food or drink to be taken on to the playing area (water is acceptable)
- Respect other people’s belongings
- Play by the session/event rules
- Play fairly
- Be gracious in victory and defeat
- RESPECT AT ALL TIMES!!!
Terms & Conditions (Please read carefully)
- I acknowledge that all participants will be responsible for making their own way to and from sessions/events unless informed otherwise.
- I authorise the member of staff that has a valid emergency first aid certificate on site to administer any emergency medical treatment, including signing a consent form on my behalf if required by the medical services.
- I acknowledge that members of staff are only responsible for participants whilst they are attending sessions/events. They, however, are free to come and go as they please during the sessions and staff cannot be held responsible for their welfare once they have left the site.
- I acknowledge and accept that the respective servants shall not have any liability in respect of any loss or damage to persons or property whilst attending the applied sessions and that members of staff reserve the right to refuse admission.
Please complete all details below:
Participants First Name*
Participants Last Name*
Date of Birth*

DayMonthYear
Age*
Gender*
Ethnicity*
Address line 1
Address line 2
Post Code*
E-mail Address
example@example.com
Participants Tel/Mob Number
School/College
Medical Conditions/Allergies
Disabilities
Injuries
Emergency Contact Name 1*
Emergency Contact Number 1*
E-mail Address*
Emergency Contact Name 2*
Emergency Contact Number 2*
E-mail address
Which E2E venue will your child be attending?:*
At the end of the session my child will be:*
Do you give consent for your child to be given First Aid treatment if required?*
** Photos and Videos may be taken during the sessions for publicity and monitoring purposes **
Do you give permission for the taking or publication of images?*
I agree that I will abide by ALL rules of respect and the terms and conditions set out above.
Signed: (Participant)

Clear
Date

DayMonthYear
Date
Signed: (Parent/Guardian)

Clear
Date

DayMonthYear
Date
LiFT CIC will use your information for admin, marketing and customer service purposes only. We DO NOT share your information with partner organisations. Do you give LiFT CIC permission to contact you about any courses, services that you may be interested in?*
As part of our marketing strategy and to keep informed of any updates or developments of any sessions/services that we deliver, LiFT CIC have created a WhatsApp group in which information will be shared. Do you give consent to be added to this group? *
Name of person to be added to the group
Telephone number of person to be added to the group
For session information or questions, please contact: info@liftcic.co.uk
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