Northants YFC Online Parent Consent Form

This form is to be completed by the Parent or Guardian of the member named below who is under 18 years of age on the day of the Event. It gives consent for that member to attend the Event detailed below and the responsibility for that member to a named individual, when the parent is not attendance. Area Committee will take responsibility for ensuring the safe running of all its event by working with the venue management, volunteers and staff. Member’s attendance will be in accordance with the NFYFC Safeguarding Policy. Details on this form will be held securely and will only be shared with volunteers, staff or other organisations that may need this information in order to meet the specific needs of your child. Please use block capitals throughout the form.

Section 1 – Details of under-18 year old member (This section to be completed by the parent/guardian)

Name of Competition/Event/Activity being Attended *

Full name of YFC member:

Date Of Birth *

Address Line 1 *

Town

Postal Code

Name of YFC Club: *

YFC Membership Number: *

Name of County Federation

Name of responsible person

Section 2 – Photography Permissions

(This section to be completed by the parent/guardian) As part of the YFC activities, pictures and videos are used for the legitimate interest of the organisation which includes promotional activity and the publishing of competitions results. Official event photography and video from the event will include your child unless there are safeguarding or other reasons why you do not wish your child’s photograph to be used, please indicate this below. All events will display information regarding the capturing of images and who to speak to if there are any concerns during an event. No images will be sold but may be used for external press and news features. All images will be kept for use for a limited time and then only for historical and reference purposes.

I understand that at this event my child may be photographed/filmed taking part and the resulting images or footage could be used by NFYFC in printed or digital (website and social media) format with their name accompanying. *YesNo

I would like to discuss my child’s photography permissionsYes Please.No Thanks

Do you have parental responsibility and/or legal guardianship in relation to this member?Checkbox *YesNo

SignedParent/Guardian

Full Name of Parent/Guardian *

Email Address *

Section 3 -Emergency Contacts

Please fill both Names and Phone numbers in

Emergency Contact Name *

Mobile Phone No *

Home Phone No *

Work Phone No *