Sleepover consent form
18th-19th March 2017
Child’s name:Membership ID: / DOB:
Guest of (if accompanying a Young Friend):
Consent of Parent or Guardian
I confirm that I have read the event information sheet and FAQ document, and I agree to my child taking part in the Young Friends Sleepover, and I acknowledge the need for her/ him to behave responsibly.
Name: / Relationship to child:
Signature: / Date:
(Please sign and print your name in the space provided above)
Will you be accompanying your child to the aforementioned event? YES / NO
If NO, please enter the details of the adult that will be accompanying your child:
Name: / Mobile number:
Medical information about your child
a. Is your child allergic to any medication? YES / NO
If YES, please specify below or attach additional paper if necessary:
b. When did your child last have a tetanus injection?
c. Does your child have any conditions requiring medical treatment, including medication? YES / NO
If YES, please specify below or attach additional paper if necessary:
d. To ensure that provisions can be put in place for access to all event activities, please state whether your child has any mobility access issues or needs. YES / NO
If YES, please specify below or attach additional paper if necessary:
Emergency Contact Details
Home number: / Mobile number:
Home address:
Alternative Emergency Contact Details
Name: / Home/Mobile number:
Home address:
Family Doctor Details
Name: / Phone number:
Address:
Declaration:
I will inform the Event Coordinator as soon as possible of any changes in the medical or other circumstances of my child between now and the date of the event.
I agree to my child receiving medication as instructed and any emergency dental, medical or surgical treatment, including anaesthetic or blood transfusion, as considered necessary by the medical authorities present.
If you agree to the above usage then please tick here☐
Photography Consent:
We, the British Museum Friends, may take photographs during your child’s visit to this event, which may be used by us or the British Museum to publicise the outcome of the event or to promote our own or the British Museum’s future events in the press, on the Internet and in displays and promotional materials including (but not limited to) electronic presentations, reports, submission to newsletters, newspapers or exhibition packs.
No names or other personal information will be included in any captions. We will not use the images for any purpose other than the ones stated above without seeking further consent from you.
If you agree to the above usage then please tick here☐
Terms and conditions of photographic images:
We will not use the images taken for any other purpose other than that specified above. British Museum Friends is committed to the protection of your privacy, and under the Data Protection Act 1998 requires your consent to use your image(s) in this way.
Please note: All parents or guardians of children attending a Young Friends sleepover must fill in and return this form to the Membership team prior to the event date. While your children are in the Museum, their safety is our priority. It is for this reason that, if your child is attending one of our events and will not be accompanied by you, we need to know that:
- you will ensure your child is acompanied to and from the Museum by a responsible adult
- in the event that you cannot attend, you authorise another adult to accompany your child to the event
- you have read the event guidelines and are aware your child will be participating in a variety of activities
- you have provided us with relevant medical information and contact details for us to use in the unlikely event of an emergency
- the child is no younger than 8 years old
Once completed, please return this form to:
The British Museum Friends, Great Russell Street, London, WC1B 3DG
Alternatively, you can send a scanned copy via email to:
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