Beckly Centre Consent Form.

Name of child ………………………………………………………………………………………

I hereby agree to my child taking part in any or all of the activities that will form part of the Beckly Centre Programme including trips and outing: play games and sports; arts craft and life skill activities; and any other event, activity or entertainment that may be organised by or for  Beckly.

I consider my child fit to participate in the Beckly Programme activities, subject to any restrictions detailed on the registration form. 

I undertake that I will note on the registration form all necessary information relating to my child's special / additional requirements for health, safety, wellbeing, diet, including full details of all medication prescribed and any other relevant information that affects my child. I undertake to keep Beckly informed of any changes in circumstances and details. I will provide copies of any relevant care plans / reviews / management  programmes relating to me child.
I undertake to provide a suitable packed lunch / meal and drinks for my child. Where food / drink is not provided from home then I authorise Beckly to obtain for and provide my child with food / drinks.
I consent to sun creams / lotions being applied to my child when and where considered necessary by staff and if this is not provided from home then I authorise use of creams supplied by Beckly. I will ensure that my child is suitably clothed for the weather conditions

I agree to my child being transported in any vehicle that is provided by, on behalf of or hired by Beckly. I will provide any appropriate personalised restraints / seating as required.

I am willing for information about my child to be shared with and / or sought from other agencies / providers / groups / schools and confirm that information /data relating to my child may be shared with funding agencies, Local Authority and other statutory agencies.

I consent to medication being administered to my child in accordance with the instructions detailed on the registration form and I will provide all necessary medication suitably and separately labelled and packaged together with any necessary protocols and instructions.
I consent to any emergency medical treatment being given to my child where and when necessary and for the Leader in Charge to obtain and authorise any such necessary treatments.

I understand that the Beckly Centre does not provide any personal accident cover for my child although the Beckly Adventure Centre does have public liability cover.
I consent to photographs and videos being taken during sessions and understand that these may be used for publicity by Beckly and / or other agencies..

signature of parent/carer......................................................
date   ………………………………….      
contact phone number ………………………………………………