Young Birders - Consent Form
Thank you for signing up to our Young Birders Club. Please could you or your parent/guardian fill out this form so that we can gain learn a bit more about you, tailor the project to you and gain relevant permissions. Please fill out one form per member.
Name of Young Birder
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First Name
Last Name
Date of Birth
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-
Month
-
Day
Year
Date
Email Address
*
example@example.com
Emergency contact name
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Emergency contact phone number (please note that by supplying this information you are agreeing that you have given permission for us to contact this person in the event of an emergency).
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Please enter a valid phone number.
Format: 00000000000.
Emergency contact relationship
*
If the member is under 18, parental/guardian consent is required to attend events organised by the charity.
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I confirm that I have parental responsibility for the named young person and I consent to my child attending Young Birders Club events without a parent or guardian present, under the supervision of charity staff.
I do not give consent for event attendance.
Not applicable (member is 18 or over).
For Parent/Guardian or Over 18s: Please check to confirm understanding that Birds of Poole Harbour are responsible for safeguarding during organised activities and any transport arranged by the charity.
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Yes
No
Behaviour
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I understand that I (or my child if under 18) am expected to follow staff instructions, remain with the group, and follow safety guidance during activities.
I consent to the charity collecting and sharing relevant medical information for the purpose of ensuring my safety and wellbeing during activities and events. (Must be completed by parent/guardian if young birder is under 18).
*
I consent to the sharing of relevant medical information.
I do not consent to the sharing of medical information.
I consent to trained staff administering first aid and seeking emergency medical treatment for me (or my child if young birder is under 18) if required, where parent/guardian cannot be contacted.
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I consent.
I do not consent.
Does the attendee have any medical conditions, disabilities or Special Educational Needs (SEND)?
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I consent to Birds of Poole Harbour using photographs and/or video recordings including both images of me both internally and externally to promote the Poole Harbour Young Birders Project. These images could be used on our website, newsletters, posters, advertising and social media. (Parent/Guardian signature required for under 18s)
*
Yes
No
Birds of Poole Harbour will store and use the information provided in this form solely for safeguarding, welfare, and administration of the Young Birders Club. Data will be stored securely, accessed only by authorised staff, and retained in line with our data retention policy. You may withdraw consent or request data access at any time.
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I have read and understood the privacy notice.
Do you require any reimbursement for local travel to events to make the club as inclusive and accessible as possible.
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Yes
No
How best would you like to hear about news and events relating to the Poole Harbour Young Birders Club.
Email/Newsletter
Website
Instagram
TikTok
Facebook
Bluesky
Other
Is there anything that we can do to make the project and events more accessible or inclusive for you?
What is your level of interest or knowledge in birding/wildlife to date? This is purely for interest as we welcome all levels of understanding to our events.
Is there anything further that would be helpful for us to know about the attendee?
By signing below, I confirm that the information provided is accurate and that I give the consents indicated above. (Must be completed by parent/guardian if under 18).
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Submit Membership Application
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