Business Innovation Challenge Parental Consent Form

Business Innovation Challenge

Supported by Defra

PARENTAL CONSENT FOR UNDER-18 YEAR OLD YFC MEMBERS

This form is to be completed by the Parent or Legal Guardian of the member named below who is under 18 years of age.

It gives consent for that member to take part in the online traning offer and responsibility for the supervision of that member by the parent/legal guardian. Please complete the appropriate sections of this form.

As your child is entering a competition, we may also like to use a photograph and possibly video of your child in publicity materials related to the competition. Please can you complete the photographic consent section of the form for this also.

The YFC code of conduct applies to all NFYFC activities.

Details on this form will be held securely and will only be shared with staff 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/legal guardian)

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

First NameLast Name
Name of online training*
Club & County information*

YFC ClubYFC County
Membership number*
Member's email address*
If you, as the parent/legal guardian are supervising this training please check 'YES' below and proceed to section 3*

YES - I am attending this supervisionNO - I am not 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 member 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 Telephone Number Landline Telephone Number
SECTION 3

Information and Emergency Contact Details (This section to be completed by the parents/legal guardians)
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 old Members

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 photograph/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 sarah.palmer@nfyfc.org.uk or by telephone on 07827 816342.
You can withdraw consent at any time by emailing email sarah.palmer@nfyfc.org.uk or by mobile 07827 816342. However, it should be noted that it may not be possible to remove images that have already been published or distributed.
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: