sbc youth consent form
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November 2013
Dear Parent/Guardian
General parental consent
We are delighted to have the opportunity to work with your young person this year, and have an exciting programme planned. Throughout the course of the year young people will also have the opportunity to participate in events and excursions out-with the normal, weekly Youth programme and potentially the immediate environment of the church.
In every instance, young people will be under the direct supervision of trained leaders and subject to the church’s Health & Safety policy and practice.
Please discuss with your young person and indicate your agreement with the following Code of Good Behaviour by signing and returning the attached consent form:
Show courtesy to leaders and peers, and report bullying immediately. Refrain from the use of foul language and excessive/improper physical contact. Never bring cigarettes, alcohol or drugs to any event. Treat the property of SBC and other young people with respect. Engage only in the appropriate and responsible use of mobile phones and other items of
technology. Behave responsibly while travelling, and comply fully with instructions from those in charge
(including the wearing of seat belts). Adhere to leaders’ instructions on appropriate access to allocated, single sex, sleeping areas. Accept that valuables are brought at the owner’s risk.
Please do not hesitate to contact me if you have any questions or concerns.
Yours sincerely
Rev David GoodingYouth Pastor07889 631119, david.gooding@stirlingbaptist.co.uk
Stirling Baptist Church67 Murray PlaceStirling FK8 1AU
Tel: 01786 450581 admin@stirlingbaptist.co.uk
www.stirlingbaptist.orgScottish Charity No. SCO 00117
Stirling Baptist Church-Youth DepartmentGeneral Consent Form
Name of young person
Date of birth
Address
Known medical conditions
Allergies/dietary requirements
Primary Emergency contact
Name
Home number
Mobile number
Work number
Secondary Emergency contact
Name
Home number
Mobile number
Work number
Family Doctor
GP Practice
Phone number
General consent:
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I …………………………………………………………. (parent/guardian) give permission for my young person,
named above, to take part in Stirling Baptist Church youth activities.
I understand that while involved in activities, my child will be under the control and care of the Leaders and that while they will take all reasonable care, they cannot necessarily be held responsible for any loss, damage or injury suffered by my young person during or as a result of any activity.
In an emergency, I am willing for my young person to receive necessary medical, hospital or dental treatment including anesthetic.
I also give consent to my child being photographed.
Signed: Date:
Agreement to comply with Code of Good Behaviour:
I, ................................................................ (parent/guardian) have read and understood the SBC Code
of Good Behaviour. I have discussed this with my young person and accept that failure to comply will
result in appropriate disciplinary action being taken. (This may include being asked to collect my
young person from the event).
Signed: Date:
I, ................................................................ (young person) agree to the SBC Code of Good Behaviour. I
understand fully that failure to comply will result in appropriate disciplinary action being taken.
Signed: Date:
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