Kendal Tri Club Parental Consent Form for Junior Activities

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Contact Details

Child's first name

Child's last name

Child's date of birth

AAAA

Gender

Male

Female

Prefer not to say

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Name of parent / carer

Home address

Telephone number

Emergency Contact Name

Emergency Contact Phone Number

Alternative Contact Name

Alternative Contact Number

Activity Details

Activity Description (Dates/Times/Season/Location)

Medical Information

Does your child experience any conditions requiring medical treatment and/or medication?

Yes

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If yes, provide condition details

Does your child have any allergies?

Yes

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If yes, provide allergy details

Please provide any additional information you feel necessary

Agreement

Please indicate your agreement with the following *

I have received details of the above activity and am aware of the British Triathlon’s child Protection Policy and Procedures.

I consent to my child taking part in the activities detailed. I acknowledge that the club will be liable in the event of an accident only if they have failed to take reasonable steps in their duty of care for my child during the activity

I agree to be at the drop-off/pick-up point at the agreed time.

I confirm to the best of my knowledge that my child does not knowingly suffer from any medical condition other than those detailed above

I consent to my child receiving medical treatment which in the opinion of a qualified medical practitioner may be necessary

Obbligatorio

Signature (type name)

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