Beruflich Dokumente
Kultur Dokumente
Childs Name
Telephone contact
during the event,
relationship to child,
your home address
Current medication,
pain or flu relief that
can be given
Special dietary
requirements
All children attending the Children’s Disco are required to read and sign the following
Code of Conduct.
• Co-operate fully with the organisers and accompanying adults at all times.
• Fulfil all request and requirements made by organisers and accompanying adults.
DECLARATION
• I give consent to my child taking part in the disco, declare my child to be in good
health.
• I have noted where and when my child is to be collected and I am responsible for by
child getting home safely from this event.
• I have completed the required medical form and will return it with this consent form.
• My child and I have read the Code of Conduct and understand that the organisers
will act upon it exercising the same duty of care as would a reasonable parent.
• As part of the event, photographs or video footage may be taken for the use in the
Parish newsletter or local press. Can we use the young person’s photograph in this
way? YES NO
Signature of Child……………………………………………..