Redgate Sports: Generic Consent form

Redgate Sports: Consent Form

Out of School / Non-Curriculum
We need this form completed when we are delivering outside of curriculum time or in non-school environment (eg delivery at home or a holiday club).

The person giving consent must have the right to give consent. They will often be ther parent or carer, however, they may also be a teacher / social worker etc.

Information about the person completing this form and giving consent
Name*

First NameLast Name
Relationship to the child*
Please confirm you legally have the right to give consent for the child named on this form*
Email of person giving consent*
example@example.com
Mobile number of person giving consent*
Emergency contact number for when child is attending sessions*

Information about the child
Name*

First NameLast Name
Date of Birth*

DayMonthYear
School year
What school do they attend (if not attending please say this)*
Any allergies or medications? If none please type 'none'. *
Is there any other information you would like to share to help us provide great support? Please note - do not feel the need to repeat information you added on initial application or that we already know... we already have that on file.
Does the child have a social worker / support worker - can you share name and contact number?
We hold this information on record, however, we do not contact them without letting you know first
Sometimes, we do additional activities. Do you consent to the child named above taking part in the following additional activities. Please note this will always be with appropriately qualified instructors.*

SwimmingWall climbingOutdoors - walkingMaybe - but ask me again per specific ocassionNo
I consent to the child named above to take part in the Redgate Sports programme. I understand that the programme involves a variety of sports.*

Clear
Date*

DayMonthYear
Date
Should be Empty:

Redgate Sports: Consent Form