Pedestrian Training Consent Form

Data storing consent

Consent for storing submitted data *

Your data is kept securely and we will not share your data with any other parties.

Yes, I give permission to store and process my data

No, I don't consent to storing and processing my data

Child's details

Please complete this form to give consent to your child taking part in the pedestrian training programme planned at your child's school

Child's name *

Please enter your child's name.

Please tell us which class your child is in. This will help us group the children. *

Which year group is your child currently in? *

Year 1

Year 2

Year 3

Applicant details

First name of person completing this form *

Surname of person completing this form *

Relationship to child *

Email address *

Parent/carer's telephone contact number *

Other

Please list any medical or special needs information which you think is necessary for the health and safety of your child the instructor needs to know.

Medical Consent *

In the event of an emergency, if I am not contactable on the phone number provided I consent to my child receiving medication or treatment deemed necessary from the appropriate authorities present.

Yes I consent

No I do not consent

Pedestrian Training Consent *

Please check the appropriate response below to give consent to allow your child to take part in Pedestrian Training.

Yes I consent

No I do not consent to my child participating

Darlington Borough Council Online Forms

Pedestrian Training Consent Form