Birthday Party Consent Form

Name *

First

Last

Email *

Date of Birth *

Gender

Any allergies, medical conditions, prescribed medication or advice to be followed in an emergency? *

If yes, please give details below

Any special dietary requirements?

If yes, please give details below

Tetanus vaccination received in last 10 years? *

Emergency Contact Name *

First

Last

Preferred Phone Number *

Phone (home)

Phone (mobile)

Phone (work)

Birthday Child's Name *

First

Last

Date of the Birthday Party *

Session *

Declaration *

Declaration I give my consent for the named child to take part in the above woodland birthday party and its associated activities. I understand that activities may include use of tools, rope swings/hammocks/climbing ropes and nets, fire lighting, den building, campfire cooking, craft work, and other similar outdoor, adventurous activities. I give my consent for the tools necessary for the activity to be used by the named young person. I also consent to the named child receiving any necessary medical treatment for any injury or illness whilst in the care of Out to the Woods CIC. COVID-19: I understand that if my child or any member of my family/household has any of the symptoms of coronavirus, they should not visit Out to the Woods CIC, but should instead follow relevant government guidance.

Checkboxes

I give my consent to photographs of the named child being used for publicity by Out to the Woods CIC.
I would like to receive occasional emails from Out to the Woods CIC about special offers and upcoming events in the woods.

Your Name *

First

Last

Relationship to participant *

Out To The Woods CIC

A Community Forest School for Sittingbourne, Maidstone and Medway

Registered in England & Wales, Company No. 13252134