Permission Form

First name

Last name

Birthday

Day

Month

Year

Parent/Guardian’s Name (if participant is under 18)

Phone

Email

Please tick boxes to give your permission:

Photography & Video (Promotional Use)

I give permission for my child’s image and/or video to be used in promotional materials such as brochures, posters, websites, and social media for The ReConnect Programme.

Photography & Video (Internal Use Only)

I give permission for my child’s image and/or video to be captured and used for internal records and learning portfolios (not shared publicly).

General Construction Activities

I give permission for my child to take part in supervised construction-related activities, including the use of hand tools, woodwork, and basic DIY projects.

Jump Biking & Skate Park Activities

I give permission for my child to participate in jump biking activities, which may include using ramps and trails, under supervision and with appropriate safety equipment.

Sports & Fitness (including Weights and Calisthenics)

I give permission for my child to engage in physical activities including team sports, personal fitness sessions, weight training, and calisthenics.

Off-site Activities

I give permission for my child to attend off-site trips and activities as part of their programme, which may include visits to parks, sports venues, or other educational locations.

Transport to Venues

I give permission for my child to be transported by The ReConnect Programme staff in a car, minibus, or other approved transport to and from sessions or venues.

Allergies / Medical Conditions Please tick this box if the participant has any allergies or medical conditions we should be aware of, and provide details below:

Allergies / Medical Conditions Information

Waiver & Acknowledgement

I acknowledge that whilst all activities will be carried out with appropriate risk assessments, trained staff, and necessary safety precautions, there are inherent risks in some activities. I agree not to hold The ReConnect Programme, its staff, or affiliated partners liable for any injury, loss, or damage that may occur during participation, except in cases of proven negligence.

I confirm that all information provided is accurate and up to date, and I understand I may withdraw consent for any of the above at any time by notifying the programme in writing.

Signature

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Date

Day

Month

Year

ReConnect 1-1

online permission form