YFC Achiever Awards 2023 - NFYFC Parental Consent Form

YFC ACHIEVER AWARDS

03 November 2023

PARENTAL CONSENT FOR UNDER-18 YEAR OLD MEMBERS ATTENDING NFYFC EVENTS

This form is to be completed by the Parent or Guardian of the member named below who is under 18 years of age on the day of the event. It gives consent for that member to attend the event and the responsibility for the supervision of that member to a named individual, when the parent is not in attendance. Where the parent is in attendance they are responsible for their child for the duration of the event. If you, as the parent, are attending please complete sections 1 and 3 of this form; if your child is attending with a supervising adult please ensure they (the supervising adult) complete section 2.

NFYFC will take responsibility for ensuring the safe running of all its events by working with the venue management and our own team of staff and stewards. Members' attendance will be in accordance with the NFYFC Safeguarding Policy. In the event of an accident or concern arising involving an individual under the age of 18, NFYFC will liaise with the parent or the named person who is supervising the member. Details on this form will be held securely and will only be shared with staff or others who need this information in order to meet the specific needs of your child.
SECTION 1

Details of under-18 year old member. (This section to be completed by the parent/guardian)

Please complete the information below:
Full name of YFC Member*

First NameLast Name
Club & County information *

YFC ClubYFC County
Membership number*
Email address*
Medical Information

Please provide details below.
Doctor information:*

Doctor's NameDoctor's Contact Number
Is the named participant receiving any medical treatment or on any prescribed medication?*

Yes - If yes, please provide details belowNo
Details of any medication to be taken, include frequency and any relevant side effects*
Please include medication name and dosage
Has the named participant ever suffered from any medical conditions (for example diabetes, asthma, migraine, epilepsy?*

Yes - if yes, please provide details belowNo
Is the named participant allergic to anything (e.g. antibiotics, penicillin, elastoplast, aspirin or any medicines, any participar food etc?)*

Yes - if yes, please provide details belowNo
Does the participant have any disabilities, additional needs and/or behavioural difficulties?*

Yes - If yes, please provide details belowNo
If you answered 'YES' to any of the questions above, please use this section to record further details.*
If you, as the parent/guardian are attending this event please check 'YES' below and proceed to section 3*

YES - I am attending this eventNO - I am not attending and will supply details of the person supervising my child below
SECTION 2 – Details of the adult nominated by the parents/legal guardian to supervise the individual named above
Full name of Supervisor*

First NameLast Name
Email address of Supervisor*
.
Club & County information of Supervisor if applicable

YFC ClubYFC County
Relationship to member*
Contact Details*

Mobile phone numberLandline telephone number
SECTION 3 - Information and Emergency Contact Details (This section to be completed by the parents/legal guardian)
The medical information recorded on this form 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*

Yes - I understand
In an emergency doctors/surgeons will make the decision regarding the necessary treatment without my consent*

Yes - I understand
I have read and understood the attached information and give my consent for my child to take part in this event.*

Yes - I understand
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.*

Yes - I understand
I confirm that I have parental responsibility/legal guardianship in relation to this member*

YesNo
The NFYFC Insurance Policy is available on request.
National Federation of Young Farmers’ Clubs Photographic Consent for under-18 year olds

Occasionally, we may take photographs or commission external companies to photograph or film members participating at our National Federation of Young Farmers’ Club activities, competitions and events on our behalf. When holding virtual events and competitions, the activity, or part of it, may be recorded or a screen shot maybe taken. As part of the YFC activities, such images are used for the legitimate interest of the organisation, which includes promotional activity such as displays, scrapbooks, newsletters, on the website, social networking sites or in publications, and the publishing of competitions results. Live events, competitions or activities may also be visited by the media who will take photographs or film footage, which may lead to members appearing in these images in local or national newspapers, or on televised or internet news programmes. In addition, the winner(s) of any competitions that are run will be announced online and we would like to include a photograph of the winner. In the event that your child is a competition winner, we may ask them to send a photo of themselves for us to include on the winning social media graphic. Videos and photos that are recorded (or submitted) as part of the activity and which include an image of your child may be used, with their name, unless there are safeguarding or other reasons why you do not wish your child’s photograph to be used – please indicate this below. 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.
I understand that this activity may involve a picture or video of my child and the resulting images or footage could be used by NFYFC in printed or digital (website and social media) format.
I consent to the use of such images by NFYFC for promotional purposes, in printed or digital (website and social media) format.*

YESNO
I consent to my child's first name accompanying their photographs/images*

Yes - please include my child's first nameNo - Do not include my child's name
If you would like to discuss your child's photography permission with a member of the NFYFC staff team, please email lauren.hancox@nfyfc.org.uk or by telephone on 02476 857225.
I UNDERSTAND THAT I HAVE A RESPONSIBILITY TO INFORM NFYFC STAFF PRIOR TO THE EVENT OF ANY CHANGES TO THIS INFORMATION. If this form is completed incorrectly NFYFC will contact you to ascertain the relevant information.*

Yes - I understand and will provide updated information if necessary
I have read and understood all requirements detailed in the consent form. Signed:*

Clear
Date*

MonthDayYear
Date
Full Name & Relationship to child (In Block Capitals)*
ICE CONTACT NUMBER*
Mobile Number
CONTACT NUMBER*
Landline number
Additional contact person (in case of emergency)*
Name
Telephone number for additional contact*
Mobile number
Telephone number for additional contact*
Landline number
FOR OFFICE USE ONLY Signature of Supervisor on day of Event
Signature
Should be Empty: