Guardian Consent and Activity Permission
I, guardian name, am the parent or legal guardian of participant name, born date of birth, and I sign this on date for program name at business name, running from start date to end date.
- Permission. I give permission for the child to take part in program name and in the activities it includes, which are: activities. I have read what each involves and I am satisfied the child can take part.
- Off site. I give permission for the child to leave the site for the trips listed here — trips — supervised by business name's staff, and to travel to them as set out in the transportation authorization.
- Supervision and behaviour. I understand the ratio of staff to children is supervision ratio, that the child is supervised during programme hours and not before or after them, and that I am responsible for the child at all other times. I have read the code of conduct and I understand that a child who repeatedly breaks it may be sent home at my cost.
- Collection. The child may be collected only by me or by the people named here: authorised collectors. Anybody collecting the child may be asked for identification.
- Health. The child's health, allergies, medication, dietary needs and anything staff should watch for are written here: health notes. Medication is handed to staff labelled and in its original container, with written instructions.
- Sun, water and heat. If the programme includes swimming or open water, the child's ability is: swim ability. I understand that a child whose ability is not what I have written here is at risk, and I have written it accurately.
- Photographs. Whether the child's image may be used, and where, is set here: photo permission. If I say no, that answer is respected in every publication and posting.
- The risks. Group activity with children carries risks that supervision reduces and cannot remove. I accept the ordinary risks of the activities listed, and nothing here waives a claim the law does not allow a guardian to waive on a child's behalf.
By signing I confirm that I am the child's parent or legal guardian, that I have read this, and that I meant to sign it.








