Young Carers General and Activities Consent Form

Carers Bucks aims to provide a safe and enjoyable experience for every child or young person. To help us do this, please note the following important information:

  • All questions on the consent form must be completed and signed by the parent/guardian before any child takes part in any activities with Carers Bucks.
  • The safe arrival and return journey of young people under 18 who are unaccompanied remains the responsibility of their parent/guardian. However, if the young carer is over the age of 11 and you would like them to attend/ leave sessions alone we will need written consent form to be completed.
  • We cannot take responsibility for any damaged clothing and/or personal items during the activity.
  • Parents/guardians should ensure children have sufficient clothing, sun lotion and medication (where appropriate) for the duration of the activity.
  • I understand that my child needs to follow the behaviour code and any safety rules so that Carers Bucks can keep them and other children safe.
  • I understand that if any of the details within this form change, it is my responsibility to inform Carers Bucks.

All of the details filled out in this section should be about the young carer or young adult carer.

    First name (required)

    Last name (required)

    Age (required)

    Date of birth (required)

    Main address (required)

    Postcode (required)

    EMERGENCY CONTACT DETAILS

    Carers Bucks requires

    two separate people as emergency contacts who we can contact in the event of an emergency. Please provide details below:

    First Emergency Contact’s name (required)

    First Emergency Contact’s phone number (required)

    First Emergency Contact’s relationship to young carer (required)

    Second Emergency Contact’s name (required)

    Second Emergency Contact’s phone number (required)

    Second Emergency Contact’s relationship to young carer (required)

    MEDICAL DETAILS

    Please state any ongoing medical conditions or allergies

    Please state any dietary requirements

    Parent/Guardian Consent (required)
    I agree to my child taking part in the activities with Carers BucksI agree to Carers Bucks keeping a record of this form for health and safety reasons.I agree to my child being filmed or photographed during the activity, with the possibility that these photographs/media recordings may be used for publications or marketing publicity.I will encourage my child to talk to Carers Bucks if they are not comfortable at any time during the activity.

    Signed by – name of parent/guardian (required)

    Today’s date (required)