Acivity Consent Form

Personal Information of Parent / Guardian:

Title:

First name:

Surname:

Email address:

Check:

Telephone Number:

Mobile Number:

Young Persons Details

Young Persons Full Name:

Address:

Activity / Camp / Event:

Date Of Birth:

Age of Young person:

Explorer Unit:

Emergency Contacts:

Emergencty Contact (1):

Emergency Contact (2):

Medical Details:

Doctors Surgery Details:-:

Has your young person Had any Injuries in the last 6 weeks witch may affect them Participating?:

Does the participant suffer from ASTHMA, HAYFEVER, MIGRAINE, FITS, FAINTS, EPILEPSY, DIABETES, or any other ILLNESS or DISABILITY?:

Has the participant been in contact with any infectious illness in the last three weeks?:

Is the participant allergic to ANTIBIOTICS, PLASTERS or any other MEDICINES/FOOD?:

Does the participant have any SPECIAL or DIETARY needs?:

Young Person Attending the event can swim 25 meters Unaided:YES NO

Should the necessity arise, and I cannot be contacted by telephone or any other practical means to authorise urgent medical treatment to the above-named participant, I hereby give my general consent to the leader in charge to authorise the medical authori:YES NO

Photo Consent

As a District we would like to use photos or videos taken during our activities & Events to promote Scouting in Weald District & nationally to celebrate the endeavours and successes of our members.

We hope to have many opportunities to use photographs taken of unit activities to enhance our social media contents. It is Scout Association best practise to have permission from Beavers, Cubs, Scouts Exploer parents / carers before we publish media taken of your young person, whilst undertaking scouting activities. We would request that you consider allowing us to use media content featuring your young person, though we do understand that for personal or child protection reasons you may not wish you young person to appear in pictures we publish. Media taken and controlled by the Explorer units will only be published on our own Group or District website, newsletter or posted on our noticeboards, occasionally we may forward photographs to other scouting media outlets or for local/district purposes.

Where we publish media we will take care to ensure that full names are not included in the related article or caption, e.g we will normally use captions like “The Beavers & Cubs visiting Cranbrook Fire Station” etc.

Photographic Guidelines

We never to publish personal details with any photo image that is used (full name, email)
We will endeavour to remove identifying metadata from graphics (e.g. location, comments etc)
The content of all picture will be considered for good taste before publication
We will only use images to publicise Scouting related events
If we inadvertently publish material without parental permission on our website we will remove it as quickly as possible after it is brought to our attention. (Please use the contact form on the website to inform the District Lead Volunteer immediately)
We cannot control the legal right of third party photographers to take and publish pictures taken in a public place.

Social Media: The district does not have any control over the social media sites (Facebook, Instagram, Twitter etc ) that may be used by parents or youth members; individuals are responsible for the content of their own social media account. We would therefore request that you are mindful of any content that you or your young person may post to this type of site and that any pictures that are set in a scouting context should not bring the Explorer Unit or movement into disrepute or put young people at risk. We would also ask that you respect the wishes of other parents if they ask for their child’s picture to be removed.

I have read and understood the Weald District Photographic Guidelines that accompanied this from about the use of photographic images and video. I hereby Give / Refuse (please circle) permission for photographic images of the above named to be:GIVE REFUSE

I can confirm that the information on Online Scout Manager is up to date and correct to the best of my knowledge. Parent/carer’s Signature:

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