Parental Consent Form

Your child will be taking part in basic bushcraft activities as part of a Bushcraft Birthdays party. Activities include: fire lighting, shelter building, cooking food on a fire, bushtucker trials (including edible bugs fit for human consumption) and using some basic tools such as potato peelers or knives (age dependent) Some parties take place in a garden and others away from home.

All activities are optional for children to take part in during the party, but we require your consent for your child to take part and require the following information in advance of the party - please note that your child will not be able to take part in the activities if we do not have these details:

Date of party:
Child’s name:
Age & date of birth:
(note: minimum age is 7)
Emergency contact name:
Relationship:
Telephone number:
Dietary requirements e.g. vegetarian, halal
Please provide details of any known allergies
Please provide details of any medication being taken that may be needed.
Please provide instructions if medication is needed during the party
Has your child received a Tetanus injection? If yes, please tell us when they received it.
Please provide details of any disability or medical condition that we need to be aware of and that may affect your child’s participation

We may occasionally use images from parties for promotional purposes. Please tick this box if you do NOT wish for your child’s photo to be used in this way c

I agree to my child participating in all of the activities. In signing this form I declare that:

·  I understand that it is my responsibility to ensure that my child wears the appropriate clothing and footwear for the activities (a ‘what to wear’ list can be found on our website)

·  My child will abide by the ground rules and health & safety guidelines of the activity

·  I understand that there are inherent risks involved in the activity that may cause injury

·  Bushcraft Birthdays instructors and assistants will not be liable to me or my child now, or in the future for any loss, expense, damage or claim that I might have against them for any injury to my child or damage to their property as a result of my child participating in the activities

·  In the event of a medical emergency, I agree to my child receiving emergency medical treatment, including anaesthetic as considered necessary by the medical authorities present

We will use the information you have provided on this form for the purpose of this party only; we will store your details securely and we will not share them with any other party.

Print name
Signed
(please type your name again here if completing the form electronically)
Relationship to child
Date

From time to time we also run special offers or events during school holidays.
If you would like to receive information about this please write your email address in the box below, which we will save on our database and we will email you with any details.
You can also keep up to date by liking our Facebook page: www.facebook.com/bushcraftbirthdays

Email address

Please email your consent form to Steph at Bushcraft Birthdays before the date of the party
in case we need to get in touch with you:

Thank you taking the time to complete this form,
The Bushcraft Birthdays Team.