All Saints Blackheath

All Saints Blackheath Church of England Primary School

Educating the saints of today for the world of tomorrow
Life at All Saints Blackheath

Consent Form

All Saints’ School Blackheath Saturday Football Club

Parental/Carer Consent Form

 

 

Children wishing to take part in the Football Club’s activities must have a Consent Form completed and signed by their parent or carer.  This form acknowledges that during these activities the child is under the care and direction of the Football Club.

 

A completed and signed form for each child must be handed to the relevant Year coach before the child can participate.   

 

Name of child……………………………………………………………………………......

 

Class………………………………………………………………………………………….

 

Contact Telephone Number/Mobile……………………………………………………….

 

Alternative Emergency Number (Friend or relative)…………………………………….

 

 

Does your child have any known medical conditions? 

 

If Yes, please provide details………………………………………………………….......

 

 

Does your child suffer from any allergies?

 

If Yes, please provide details………………………………………………………………

 

 

Delete as appropriate

 

I will arrange for my child to be dropped off and collected at the beginning and end of each session.

 

My child has my permission to arrive and leave from the Football Club on their own.

 

 

Declaration

 

I consent to my child to taking part in Football Club activities from 9:45am to 11:30am (approximately) on Saturday mornings during term-time. 

 

Name……………………………………………………………………………..................

 

Relationship………………………………………………………………………………….

 

Signature……………………………………………. Date………………………………...

 

Should any of these details change during the course of the season, it is the responsibility of the parent or carer to inform the Football Club as soon as possible.