Pedestrian Training Consent Form

Data storing consent

Consent for storing submitted data *

Child's details

Child forename *

Child's surname *

Is you child known by another name?

Yes

Known as or preferred name

Which year group is your child currently in? *

Year 1

Year 2

Year 3

What is your child's class name?

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 *

Health and safety and consent

Please list any medical needs necessary for the health and safety of your child during training.

Please list any SEND needs necessary for the health and safety of your child during training.

Other information we should know

Pedestrian training consent warning

Please be aware

In the event of an emergency, we will attempt to contact you by phone, if you are not contactable on the phone number you provided, you consent to your child receiving medication or treatment deemed necessary from the appropriate authorities present.

Pedestrian training consent *

Yes I consent

No I do not consent to my child participating

Consent denied

Darlington Borough Council Online Forms

Pedestrian Training Consent Form

Please be aware

Without your consent we cannot accept your child on this course