PRO226 Summer Camp · August 2026

Parental Consent Form

Please complete this consent form for one child or young person. The submitted record will be available to the admin team.

Child details • medical consent • activity and photo permissions

Child / Young Person Details

If you know the participant's Reg ID or Participant ID, add it so staff can connect this consent to the registration record.

Reg ID / Participant ID

Child's surname

Child's first name(s)

Preferred name (what they like to be called)

Child's date of birth

Child's own phone number (if they have one)

Child's home address, including postcode

Person With Parental Responsibility

Your full name (parent or guardian)

Your address (only if different from the child's)

Your daytime or evening phone number

Your mobile number (we call this first in an emergency)

Your email address

Emergency contact name (someone else we can call if we cannot reach you)

Emergency contact phone number

Brothers or sisters also attending (names and which group they are in)

Food Allergy and Medical Condition

Please tell us anything we need to know to support your child safely.

Does your child have any food allergies or dietary requirements?

Yes No

If yes, which foods, and what should we avoid?

Does your child have any medical conditions we should know about?

Yes No

If yes, please describe the condition and any symptoms to watch for

Medication we may need to give your child (name, dose and when to take it)

I give consent for the medication named above to be administered if required during camp activities.

Yes No

General Consent

I give permission for my child to take part in normal programme activities.

Yes No

I give permission for my child to attend eligible non-camp/off-site activities organised by Pro226 within the UK.

Yes No

Photographic Images

Photographs may be used in Pro226 publicity, website and notice platforms. Names and personal information will not be published.

I give permission for my child to appear in an individual photo

Yes No

I give permission for my child to appear in a group photo

Yes No

Mobile Phones and Signature

Attendees will place mobile phones in a safe box on arrival and receive them back at the end of the day.

I consent to the mobile phone safe-box arrangement.

Yes No

Type your full name to sign this form

Today's date

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