Dinky Diners and Chippy's Challenge registration and Consent Form
Fields labled with a RED title must be filled in

Other Name and phone number(s) of alternative contact if you are unavailable

Parental Consent

I give permission for my child to take part in this activity.

I understand that while involved in the activities of this group, he/she will be under the control and care of the group leader and/or other adults approved by the church leadership and that, while staff in charge of the group will take responsible care of the children, they can not necessarily be held responsible for any loss, damage or injury suffered by my child during, or as a result of the activity.

First Aid

In the unlikely event of illness or accident, I give permission for appropriate first aid to be given by the nominated First Aider. In an emergency and/or if I cannot be contacted, I am willing for my child to receive necessary hospital or dental treatment, including an anaesthetic.

Photography etc.

I give consent for my child to be included in photographs / video / audio recordings to be used appropriately, including for publicity.

If your child is to make their own way home from”Chippy's Challenge” please indicate Yes or No