Parent/Guardian Consent Form

Parent/Guardian Consent Form

HeroflowJourneyKids
Purpose:
Participation in creative, mindfulness, and well-being–focused educational activities designed to support self-awareness, emotional growth, and curiosity in learning.

Legal Basis:
Explicit parental consent (GDPR Article 8 / UK Data Protection Act 2018)

Welcome to HeroflowJourneyKids,

Please complete this form to confirm your permission and understanding of our session policies and procedures.
Your responses help us create a safe, nurturing, and supportive environment for your child.

HeroflowJourneyKids sessions are creative, mindful, and trauma-informed.
They are not therapy or medical treatment, and a parent or guardian must always be present in the home during online sessions.
Parents remain responsible for their child’s supervision, safety, and emotional well-being throughout and after each session.

By submitting this form, you acknowledge that you have read, understood, and agreed to all relevant HeroflowJourneyKids policies, including:
- Privacy Policy
- Cookie Policy
- Terms & Conditions
- Refund & Cancellation Policy
- Child Safeguarding & Behaviour Policy
- Health & Safety Disclaimer
All policies can be reviewed at:

https://www.heroflowjourneykids.com/policies/

If you have any questions before completing this form, please contact:

hello@heroflowjourneykids.com
Section 1: Parent / Guardian Details
Full Name*

First NameLast Name
Relationship to child*
Phone Number (for emergency contact)*

Area CodePhone Number
Address (optional)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Section 2: Child Details
Name*

First NameLast Name
Date of Birth*
Age Group*
Does your child have any additional needs, allergies, or medical conditions I should be aware of? (Please include any relevant details for safe participation.)*
Section 3: Parent / Guardian Responsibilities
Please confirm that you understand and agree to the following:*

I understand that a parent/guardian must be present in the home during all sessions.I agree to ensure my child participates from a safe, appropriate, and supervised space (e.g. table, desk, or living area — not bathrooms or private rooms).I accept that all activities are educational and developmental, not therapy or medical treatment.I understand that while every effort is made to create a safe environment, HeroflowJourneyKids cannot accept liability for any physical injury, emotional distress, or reaction arising from participation.I confirm that I have read and agree to the Health & Safety Disclaimer and Child Safeguarding & Behaviour Policy.
Section 4: Emergency Contact
Emergency Contact Name: *
Relationship to Child:*
Emergency Phone Number: *
Section 5: Media & Recording Consent

HeroflowJourneyKids occasionally records sessions for safeguarding, replay, and training purposes.No images, names, or identifiable footage will ever be shared publicly without written consent.
Please select your preference:*

Yes — I consent to HeroflowJourneyKids using non-identifiable images or short clips of my child for website, newsletters, or social media.No — I do not consent to any images or recordings of my child being used publicly.(Selecting “No” will not affect your child’s participation.)
Section 6: Acknowledgement of Emotional Well-Being
Please confirm that you understand and agree to the following:*

I understand that mindfulness, creative, and reflective activities may sometimes evoke emotions.I accept that these sessions are not therapy and that I remain responsible for my child’s emotional well-being and after-session support.I will seek professional advice if my child experiences ongoing emotional distress.
Section 7: Agreement & Signature
By signing below, I confirm that:

I am the child’s parent or legal guardian.I have read, understood, and agree to all HeroflowJourneyKids policies and the Health & Safety Disclaimer.I give consent for my child to participate in HeroflowJourneyKids online sessions.I understand that I am responsible for my child’s supervision and environment during all sessions.
Signature*

Powered by Jotform SignClear
Date Signed*

DayMonthYear
Date
Section 8: Data Protection & Consent

Your child’s personal information (e.g., name, age, medical info, emergency contact, media consent) is collected only with your explicit consent and stored securely on JotForm’s encrypted servers. Only authorised HeroflowJourneyKids staff can access submissions. Completed forms are downloaded and stored securely for record-keeping. We will never share your child’s information with third parties without consent. You may withdraw consent at any time by emailing hello@heroflowjourneykids.com This ensures that all data remains private, secure, and GDPR compliant, while allowing us to run sessions safely and smoothly.
Thank you for completing this form. I look forward to welcoming your child into a creative, mindful, and supportive space at HeroflowJourneyKids
Should be Empty:

Section 1: Parent / Guardian Details

Section 2: Child Details

Section 3: Parent / Guardian Responsibilities

Section 4: Emergency Contact

Section 5: Media & Recording Consent

Section 6: Acknowledgement of Emotional Well-Being

Section 7: Agreement & Signature

Section 8: Data Protection & Consent