TNT General Consent Form

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Thank you for signing your young person up to TNT! Please fill out this form with the relevant information to make sure we are up to date.

Young Persons Name *

Young Persons Mobile Number *

Young Persons Date of Birth *

YYYY

Which school do they attend?

School Year as of September 2021 *

Year 7

Year 8

Young Persons Home Address *

Young Persons Postcode *

Are there any health/allergy details we should be aware of? *

Are there any emotional/social details we should be aware of? *

Emergency Contact Information

Parent/Guardians Name *

Parents Mobile Number *

Parents Email Address *

Do you permit us to give the following homely medication if it is needed?

Painkillers (Paracetamol/Ibuprofen)

Plasters (for minor cuts)

Antiseptic cream (for minor scrapes/grazes)

Club Rules

- Entry is £2 per evening, and you can bring extra money for the tuck shop if you want.
- All members must show respect to each other, the building, the equipment and leaders.
- All members must sign in.
- Members of TNT are to be collected by a responsible adult. Parents/Guardians are responsible for the safety of club members when travelling to and from the premises.
- TNT only accepts responsibility of young people who have signed into the club.
- Cigarettes, alcohol and drugs are forbidden from the premises.

The young person has read and understood the above rules *

Yes

For the Parents

I have read the club rules and give permission for my son/daughter to attend TNT and other youth ministry activities run by All Saints Church (usually at Danehill Memorial Hall or other pre-published venues). I understand that these activities can include Christian teaching based on the Bible.

I understand that the leaders will take all reasonable care in looking after my son/daughter but the leaders cannot necessarily by held responsible for any loss, damage or injury suffered by my son/daughter during, or as a result of, attending the groups or special events.

In an emergency, if I cannot be contacted despite all reasonable attempts to do so by the leaders, I give permission for my son/daughter to undergo emergency medical/dental treatment including the use of anesthetics as considered necessary by the medical authorities.

I give permission for mine and my son’s/daughter’s information; name, address, mobile number to be known to the leaders for the purpose of supervision and care during the activities of youth club programmes and I confirm I am happy for my son/daughter and me to receive texts about weekly events and updates. The purpose and use of this information will be protected under the Privacy Policy of All Saints Church – Danehill.

I give permission for photos and videos of my son/daughter to be taken for use in publicity (notice boards, presentations, website, etc.). Please note: no identifying information (e.g. names with surnames, ages) will ever be included with these photographs. The purpose and use of this information will be protected under the Privacy Policy of All Saints Church – Danehill.

I, the parent/guardian of the young person mentioned, have read and agree with the above statement *

Yes

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