Annual Consent Forms

Does your child have any medical conditions we should be aware of?

Yes

No

Is your child a carrier of a contagious disease?

Yes

No

Has your child had surgery within the past year?

Yes

No

Does your child have any allergies or special dietary requirements?

Yes

No

Does your child have any special needs/behaviour problems?

Yes

No

I understand that through Carers’ Resource Young Carer Project my child may be taking part in youth club, individual work, small group work or activities. If my child is taken ill or injured to the extent that some medication or treatment is required, I hereby give my general consent and authorise the leader of the group to sign on my behalf any document required by hospital authorities.

I agree

Does your child take any medication or receive current medical treatment?

Yes

No

Will the course of medication end during the activity?

Yes

No

I will advise Carers' Resource Young Carers service of any changes to the above information including any illness or infection suffered by my child after the signing of this form and prior to a Young Carer activity.

I agree

Do you give permission for us to use photos of your child on our website?

Yes

No

Can we use quotes your child provides about our services on our website?

Yes

No

Do you give permission for us to use photos of your child in our newsletters?

Yes

No

Can we use quotes your child provides about our services in our newsletters?

Yes

No

Do you give permission for us to use photos of your child on social media?

Yes

No

Can we use quotes your child provides about our services on social media?

Yes

No

Can we include the first name and age of your child in the above?

Yes

No

Would you like your child to be contacted about being in the media to talk about young carer issues?

Yes

No

I understand that there will be times where my child is required to travel by transport in order to take part in an activity. I therefore give permission for my child to travel on public transport and staff car.

I agree

I understand that if staff members are ever concerned about my child’s use of their mobile phone on a trip or residential, it can be removed and given back to them at the end of the day. On residential weekends, phones/ipads will be turned off at 10pm to ensure everyone sleeps without being disturbed. I give my permission below.

I agree

Does your child have any medical conditions we should be aware of?

Yes

No

Is your child a carrier of a contagious disease?

Yes

No

Has your child had surgery within the past year?

Yes

No

Does your child have any allergies or special dietary requirements?

Yes

No

Does your child have any special needs/behaviour problems?

Yes

No

I understand that through Carers’ Resource Young Carer Project my child may be taking part in youth club, individual work, small group work or activities. If my child is taken ill or injured to the extent that some medication or treatment is required, I hereby give my general consent and authorise the leader of the group to sign on my behalf any document required by hospital authorities.

I agree

Does your child take any medication or receive current medical treatment?

Yes

No

Will the course of medication end during the activity?

Yes

No

I will advise Carers' Resource Young Carers service of any changes to the above information including any illness or infection suffered by my child after the signing of this form and prior to a Young Carer activity.

I agree

Do you give permission for us to use photos of your child on our website?

Yes

No

Can we use quotes your child provides about our services on our website?

Yes

No

Do you give permission for us to use photos of your child in our newsletters?

Yes

No

Can we use quotes your child provides about our services in our newsletters?

Yes

No

Do you give permission for us to use photos of your child on social media?

Yes

No

Can we use quotes your child provides about our services on social media?

Yes

No

Can we include the first name and age of your child in the above?

Yes

No

Would you like your child to be contacted about being in the media to talk about young carer issues?

Yes

No

I understand that there will be times where my child is required to travel by transport in order to take part in an activity. I therefore give permission for my child to travel on public transport and staff car.

I agree

I understand that if staff members are ever concerned about my child’s use of their mobile phone on a trip or residential, it can be removed and given back to them at the end of the day. On residential weekends, phones/ipads will be turned off at 10pm to ensure everyone sleeps without being disturbed. I give my permission below.

I agree