CONSENT FORM (GROUP MEMBER)

Youth Music Voices – Selection Events

ALL PARTICIPANTS UNDER 18 YEARS OLD MUST SUBMIT THIS FORM– TO BE COMPLETED & SIGNED BY A PARENT/GUARDIAN

October 2010

Dear Parent/Guardian,

Please print and complete the attached form to confirm that you give permission for your child/dependent to attend a Youth Music Voices selection event.

This is a group singing event for young people 14-19 years led by vocal leader Richard Frostick and staff from Youth Music. Young people may come in a group with adult leaders (a youth choir for example) or may come on their own or with a friend. All places must be booked in advance and no one will be admitted without this form completed by their parent or guardian if under 18.

During the day groups of singers will be photographed and filmed. These materials will be used solely for promotional purposes for and on behalf of Youth Music, its event delivery partners and LOCOG (the London Organising Committee of the Olympic and Paralympic Games). These materials will not be used for commercial purposes or sold on to any third party.

If you have any concerns, please do not hesitate to contact me.

Yours faithfully,

Judith Webster

Youth Music, One America Street, LondonSE1 ONE

E:

T: 020 7902 1060

CONSENT FORM – GROUP MEMBER

YOUTH MUSIC VOICES LAUNCH EVENT
ANYONEUNDER 18 YEARS OLD MUST INCLUDE THIS COMPLETED FORM
Name of child/dependent:
My child/dependant will be attending as part of a group:
Name of Group………………………………………………………..
Leader…………………………………………………………………..
Date of birth:
I hereby consent to my child/dependent attending:
  • Youth MusicVoices Selection Event
On <insert date>
At <insert venue>
  • *I agree/ do not agree for my child to be photographed/filmed on the day.
  • *I agree for photographs and/or film to be displayed as part of the promotion of the Youth Music Voices programme.
*DELETE AS APPLICABLE
Contact address for parent/guardian:
Telephone no: / Mobile no:
Signed:
Print name: / Date:
Relationship to entrant:
Lunchtime and Breaktimes
At lunch and breaktimes, young people will be supervised by, and the responsibility of, their group leader and will be asked to stay on the premises.
Young people should bring a packed lunch. Drinks will be provided.
Health and Wellbeing
Please let us know if your child has any medical condition or disability that we should be aware of.
I agree/do not agree for my child/dependant……………………………………………………………
to be given emergency treatment/first aid in the event of accident or illness.

Youth Music, One America Street, London, SE1 ONE

Registered charity no. 1075032