Holiday Club 2023 2024 CONSENT FORM

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NO registration / booking will be accepted unless this consent form is completed.

Under GDPR, we can advise you that all returned registration forms will be held on your child's file, stored confidentially within Kids Club and reviewed each academic year. Each year, old registration forms will be confidentially destroyed. If you would like more information on how you and your child's data is stored/used, please refer to the School's Privacy Notice which can be found on the School's website.

Surname of Child *

First Name of Child *

Date of Birth *

YYYY

Child's current year group 2023-24 *

I consent to my child being given First Aid by a qualified First Aider in the event of an accident. *

Yes

I consent for the Kids Club Manager or staff member to take my child to hospital if deemed necessary. *

Yes

I consent to any emergency first aid or medical treatment necessary whilst in Barkisland Kids Club care, I authorise the staff to sign any written form of consent required by the hospital authorities, if the doctors concerned feel the delay in obtaining my signature could endanger my child's life. *I understand that this will happen ONLY if I or my appointed contacts CANNOT be reached at the time.* *

Yes

In the event of your child feeling unwell, we will contact you or your emergency contact to arrange collection of your child. *

Yes

I consent to my child receiving help with dressing/undressing, if they require help. It is a requirement of Kids Club to receive Parental/Carers consent for safeguarding reasons, for a child to be helped to dress or undress if needed ie., due to a child vomiting/diarrhoea/wetting themselves. *

Yes

I consent to my child watching PG rated films, which we deem to be suitable for their age group. *

Yes

I consent to my child being issued with plasters to help keep wounds clean. *

Yes

I consent to my child being given sunscreen, if deemed necessary. *

Yes

I consent to being contacted by email for communication purposes. *

Yes

My email address is: *

I consent to my child's photograph being taken by Kids Club staff and being published in the following school domains: the school website, school newsletter, school prospectus. *

Yes, I DO give consent

No, I DO NOT give consent

I consent to my child's photograph/work being displayed boards within Kids Club. *

Yes, I DO give consent

No, I DO NOT give consent

I consent to my child's photograph being taken by Kids Club staff and being published on Twitter/Facebook/Instagram social media platforms/domains. *

Yes, I DO give consent

No, I DO NOT give consent

I consent to my child's photograph being taken during activities/special events and displayed in the local press eg., Halifax Courier, GoLocal (names will not be published). *

Yes, I DO give consent

No, I DO NOT give consent

I consent to my child taking part in outings which may involve outings, such as visiting parks and short walks around the village whilst in the care of Barkisland Kids Club. *

Yes, I DO give consent

No, I DO NOT give consent

NAME OF PARENT/CARER *

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