Parent Form - Stag do activities, Hen do, Dodgeball, Bubble football, Nerf parties London

SECTION A – PARENTAL/GUARDIAN CONSENT

Lead Organisers Name

I am signing consent for multiple children and have the authority to do so.

If the above is ticked, please provide a list of all children below that would have the same answers to all questions in this form. Please provide this list comma seperated and with D.O.B in brackets next to each name. Please complete seperate forms for children with different answers i.e. disabilites, allergens etc..

Multi-Sign Childrens Names

Parent/Guardian's First Name *
Parent/Guardian's Last Name *

Emergency Contact NO: *

PARENT/GUARDIAN ADDRESS:

Street Address 1 *
City *
County *
Postcode *

CHILD'S MEDICAL INFORMATION:

Please fill out all sections:

Does the child have a disability? *

YesNo

Does the child have any medical conditions of which we should be aware? (Please consult the childs GP/Medical Practitioner for guidance and advice where necessary) *

YesNo

Does the child have any allergies? *

YesNo

If you have answered ‘YES’ to any of the above questions please give further details including any treatments (e.g. asthma pump, epipen):

SECTION B - PARENTAL CONSENT

SAFETY & RISK DECLARATION

I have considered and understand the nature of the activities offered by Bubble Boys Ltd and I accept that these activities can expose participants to many risks and can cause physical injury. I have discussed participating in these activities with the child (as named above) and I give my consent for the child to take part in these activities. *

YesNo

If playing bubble football, I have read and understood the ‘Bubble Football Key Points and Rules’ (available at: http://bubblefootball.co.uk/terms-and-conditions/ ) and I have explained this declaration form to the child and I am satisfied that the child is sufficiently competent and able to make the declarations contained within it. *

YesNo

I accept and have impressed upon the child that they may be excluded from any games if they do not follow Bubble Boys Ltd event manager’s instructions carefully and that acting outside the event manager’s advice may cause the child or a third party problems or injuries. *

YesNo

I have listed above all of the child’s medical conditions and treatments which are relevant to the activity.

YesNo

In the event of an incident or accident involving the child, I agree to the child receiving first aid from a suitably qualified person and/or any medical or dental treatment, including but not without limitation to anaesthetic and blood transfusion, which may be considered necessary by a registered medical practitioner. *

YesNo

SECTION C: CONDITIONS OF USE

I acknowledge and accept that Bubble Boys Ltd (‘BBL’) shall not be liable for; any damage or loss of any property or items belonging to the child, group, or any third parties personal injury or death to my child, group, or any third parties (but only so far as such injury or death is not caused by the BBL’s negligence).

I acknowledge and accept that any information that I supply will be treated in accordance with the provisions of the Data Protection Act 1998. BBL may carry out photography and or video recording for publicity purposes, including reproduction on our website and on social networking sites. By accepting these conditions you agree that BBL and any authorised party may use such images in perpetuity and in any format whatsoever. You further agree that copyright in these materials rest with BBL.

I accept and have impressed upon the child that they must comply at all times fully and promptly with all the safety regulations and instructions issued by BBL staff. In participating in an BBL event the child agrees to follow the directions and orders of any member of the BBL staff and I have explained this to the child. BBL reserves the right to exclude any person(s) whom it reasonably considers is in breach of these conditions. BBL will not accept liability for any expenses, claims, losses or costs incurred as a result of such exclusion. I accept and have impressed upon the child that they must not do anything (or omit to do anything) which may cause damage or loss to property or facilities of our venues, to other Participants or cause nuisance, annoyance, disturbance, inconvenience or injury to any other persons or third parties on the premises.

I have read and accept the Conditions of Use as set out in Section C above and where so indicated give my consent and or declare as stated within Section B above. *

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Stag do activities, Hen do, Dodgeball, Bubble football, Nerf parties London

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