– Parent Permission Form After School Clubs 2018-2019 Name of Child: Class: First Choice: Second Choice: Third Choice: I give permission for my child to attend the Signed: after school activity and for the leader to Parent/Carer of child deal with any basic first aid. Print Name: Date: Health Conditions relevant to the club: needs your Child may have: Emergency Contact A: Emergency Contact B: 3:15pm -4.30pm 3:15pm -4.30pm Contact Number Contact Number Which adults are allowed to collect your child:
Name of Child: Class: First Choice: Second Choice: Third Choice: I give permission for my child to attend the after school activity and for the leader to deal with any basic first aid. Signed: Parent/Carer of child Print Name: Date: Health Conditions relevant to the club: needs your Child may have: Emergency Contact A: 3:15pm -4.30pm Contact Number Emergency Contact B: 3:15pm -4.30pm Contact Number Which adults are allowed to collect your child: Parent Permission Form – After School Clubs 2018-2019
Club%20application%20form.docx