Forest Camp Registration Form

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In order to get your child's name registered please complete the below application form.

Email *

Your name *

Would you like to be added to our mailing list? *

Yes

Contact Number *

Please enter your child's name *

Please enter your child Date of Birth *

YYYY

Please enter child's address and postcode *

Parent/Carer 1 address and contact number: *

Parent/Carer 2 address and contact number: *

Immunisations/vaccinations: The child is up to date with all immunisations and vaccinations appropriate for their age (including MMR): *

Yes

Other:

Emergency Contacts: In the event that the main carer cannot be contacted, please give details of two other people whom Forest Frontiers C.I.C can contact in the event of an emergency. Name: Relationship to child: Contact Number Name: *

Which school does your child currently attend? *

In the event of an emergency *

I confirm permission for Forest Frontiers C.I.C staff to seek emergency medical assistance/treatment

I do not give permission for Forest Frontiers C.I.C staff to seek emergency medical assistance/treatment without contacting me first other than to call an ambulance

Other:

Required

Please tick consent that applies to all of the below permissions. Please understand that all information and photos will be processed and stored in line with the GDPR May 2018 *

Permission to use sticky plasters

Permission to administer sun protection lotion (provided by parents) we will have an emergency pack of factor 50+

Permission to administer paracetamol syrup (parent of guardian to be consulted before dose is given and signature will be required for medication record book on collection of child)

Permission to apply non prescriptive teething gels (e.g. bongela) to teething babies (provided by parents).

I give permission for my child to play on large natural and un-natural play equipment at the site including slacklines, low level zip lines, climbing trees, tree swings, and going in rivers to splash in.

The director has a Golden Retriever who may come to the sessions on occasions. I give permission for my child to be around our Forest School Dog

To take my child in an insured vehicle, using appropriate car seats/seat belts for child's age & weight, with appropriate car insurance. (on occasion, other private vehicle, subject to above conditions)

For Images and Videos used by Forest Frontiers in promotional literature, e.g Facebook, Instagram or portfolios to show prospective parents

For Images and Videos other publications such as the local newspaper, other organisations, promotional literature

For Images and Videos to be used on other organisations websites

For Images and Videos to be used for Training Purposes

You agree that Forest Frontiers C.I.C can take group photos with your child and other children in our setting and that these photos can be shared with the parents of the other children in the photo.

You agree that there will be no payment for your child’s participation and that all copyright in and to such photographs or materials (including moral rights) resets exclusively to me

Required

I ask for your authority to seek medical care for my child whilst in our care, in the event of an emergency. In the event of any medical treatment being required, all attempts will be made to contact yourself, or a person authorised by you, to obtain the correct authority. Should this not be possible, the medical practitioner concerned will then decide to administer by way of prescription or referral. In a life threatening situation a Forest Frontiers C.I.C First Aid Trained Member of Staff will administer first aid until the arrival of the emergency services and accompany the child in your absence. However, we are unable to give consent for treatment in such circumstances.I hereby give my consent to the above. *

I give consent

I DO NOT give consent

Please explain how you feel you meet the criteria and how our sessions may benefit you and your child? *

Please describe your child's current interests and things they enjoy doing *

Please describe anything your child doesn't like. (e.g. getting messy, being wet, loud noises, animals) *

Please provide any details of any diagnosis your child has. If no diagnosis please give a quick overview of their current developmental needs *

Please describe any additional support needs your child has (e.g mobility issues, requires support managing feelings & behaviour) *

Does your child have any allergies or medical needs we should be aware of? *

Have you visited the Smithills Estate before?

Yes

Maybe

Clear selection

Have you attended any of our sessions previously? *

Yes

Have you attended any outdoor woodland based session with your child before? *

Yes

How much of an effect have COVID-19 Lockdowns, and social isolation had on you and your family socialising with others? *

A great deal

A lot

A moderate amount

A little

None at all

How much of an effect has COVID-19 and social isolation had on the prevalence of your family mental health and well being? *

A great deal

A lot

A moderate amount

A little

None at all

How much of an effect has COVID-19 had on your child's development? Please detail your answer *

We take photographs and videos during the sessions to use in our developmental reporting app Famly. We also use these photographs and videos for reports back to our funders and for promotional materials including our website and social media pages I/we hereby give permission for Forest Frontiers C.I.C to take photograph/video footage of my child(ren) for the following reasons To share with me via whatsapp/facebook/messenger/email to update me on my child’s day and their development. For Images and Videos used by Forest Frontiers in promotional literature, e.g Facebook, Instagram or portfolios to show prospective parents *

I consent to photographs being used for the purposes above

I DO NOT consent to photographs being used for the purposes above

Other:

If your child attends a setting we would like to share information to ensure we can give your child the best start in our sessions. *

I consent for you to share information with my child's setting

I DO NOT consent for you to share information with my child's setting

Not Applicable

Please type your name as a form of signature to confirm all of the above is correct *

Is there anything else you feel you would like to tell us? *

A copy of your responses will be emailed to the address you provided.

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