Gymnasium N1 consent form

Consent form for activities and events

In this form we ask for your consent for your child participating in with Gymnasium N1

Day/date of museum visit

Location

Type of activitywhat the child or young person will be doing

1. Child or young person's details

Name

Home address

Postcode

Email

example@example.com

Telephone Number

Date of birth

Date

2. Parent or carer`s details

Name

Home address

Postcode

Telephone number

Email

example@example.com

3. If there's an emergency, please contact (only fill in if different from the person named above): Name:

Name

Home address

Postcode

Telephone number

Email

example@example.com

Date of birth

Date

Information for parents and carers

Department for Digital, Culture Media Sport

NSPCC 2022. Registered charity England and Wales 216401. Scotland SC037717. Jersey 384.

Consent form for activities and events

Gymnasium N1 aims to provide a safe and enjoyable experience for every child or. To help us do this, please note the following important information.

All questions on the consent form must be completed and signed by the parent or carer before any child takes part.
Parents and carers must ensure they notify us of any changes to the information given on the form.
Parents and carers must make arrangements for children to be brought to and from the activity safely and on time. If a parent or carer is not able to collect their child, they need to let us know in advance who will be doing so.
We cannot take responsibility for any damaged clothing and/or personal items during the activity.
Parents and carers should ensure children have sufficient water, food, clothing, sun lotion and medication (where appropriate) for the duration of the activity.

Note: if consent is not given, Gymnasium N1 will not use any images taken during the activity that contain the child/young person.

I understand that my child needs to follow the behaviour code and any safety rules so that Gymnasium N1 can keep them and other children safe.

I agree to (please tick):

my child taking part in the stated activityGymnasium N1 keeping a record of this form for health and safety reasonsany medical treatment that my child may need to be given in an emergencymy child being filmed or photographed during the activity, with the possibility that these photographs/media recordings may be used for publications or marketing publicity. (Gymnasium N1 will take all steps to ensure these images are used solely for the purposes for which they are intended.)

Department for Digital, Culture Media Sport

NSPCC 2022. Registered charity England and Wales 216401. Scotland SC037717. Jersey 384.

Consent form for activities and events

Parent Name

Signature

Date

Inspcc.org.uk/learninglearning@nspcc.org.uk

NCKasDigital, CultureDepartment for Media Sport

Type a question

Gymnasium N1 consent form

Learning