Phoenix Groupyltf
T: 01438 722142
M: 07748 690989
E: info@phoenixgroup.org.uk

Parental/Guardian or Self Consent Form

 

If signing consent for a child under the age of 18, please complete below, over 18's please complete and sign yourself;

 

My name / my child's name

Please type your full name.

I/my child can be transported in staff cars between activities if agreed prior to event?

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I agree to have/ for my child to have photo/films taken that may be used for publicity and activity evidence for funders?

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Phoenix has my/my child's emergency contact and medical details and I inform you below of any recent changes to these.

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I/my child will have a fully charged mobile phone with them at activities and will also have a Phoenix staff member's mobile number in case I/they become separated from the group.

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Alternative emergency contact details if we are unable to contact parent or guardian.

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Updated information required for all members (ie. medical, phone numbers, food allergies/intolerances etc)

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