Parental Consent — Ravenhill Presbyterian Church

Parental Consent Form Ravenhill Presbyterian Church

Anything written on this form will be held in confidence.
The leaders need to know these details in order to meet the specific needs of your child.

Select the activities your child will be attending

Young Life

Shine Sunday Morning Kids Club

Boys' Brigade

Girls' Brigade

Church Services

Child's Name

First Name

Last Name

Child's Date Of Birth

YYYY

Child's Address

Name of parent / guardian to be contacted

First Name

Last Name

Mobile Phone Number of Parent / Guardian

Other Contact

If unavailable contact

Special Requirements

Please indicate medical conditions, special needs, allergies or dietary requirements relevant to your child, any medication being taken and anything else that would be helpful for the leaders to know about:

Consent

In the event of illness or accident, having parental responsibility for the above named child, I give permission for first aid to be administered where considered necessary by a first aider, if available, or medical treatment to be administered by a suitably qualified medical practitioner. In the event of a medical emergency, leaders will endeavour to contact you as soon as possible using the contact telephone numbers given. I will inform the leaders of any important changes to my child’s health, medication or needs and also of any changes to our address or to any of the phone numbers given above. During the time your child will spend with us, photographs may be taken for general church purposes and for this we need your permission. On submitting this form we will assume that you have given permission for your child’s photograph to be taken unless otherwise informed. Do you are the parent or legal guardian of the child named above agree to everything in this statement?

Parental Consent Form Ravenhill Presbyterian Church

Location

Gathering Times

Contact