Youth Consent Form - City Impact

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City Impact Youth

Consent Form

I give permission for my child named here to attend any of the City Impact Youth Hub sessions after school on Mondays. I trust them to select their own food and drink and be aware of their own allergies and medical needs.

Child's Name(Required)

First Last

Your Name(Required)

First Last

Relationship to child(Required)

Your Phone Number(Required)

we may contact you to confirm this permission, and of course, will also need this number as an emergency contact number

Consent(Required)

By ticking this box you give consent for the named child or young person to take part in the activities.

Media Consent

By ticking this box you give consent for the named child or young person to be photographed or filmed for use in our website, marketing, social media or flyers

Please check this box to confirm that you are happy for your child to have photos taken at events and sessions.

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