Parental Consent Form

Young Person's First Name ^* (required)

Young Person's Last Name ^* (required)

Parent's/Guardian's First Name ^* (required)

Parent's/Guardian's Last Name ^* (required)

I give permission for the young person named above to be allowed to take part in the above mentioned activities online. ^* (required)

I agree

I disagree

I agree that I will provide appropriate supervision whilst the participant takes part in activities and that I will ensure that these events take place in a suitable location, free from inappropriate background noise or images and that will not capture those who have not consented to sharing their images online. ^* (required)

I agree

I disagree

I will advise the MBA if any of the details on this form change during the programme and if I have any concerns for the safety or wellbeing of the participant during the programme ^* (required)

I agree

I disagree

I understand that the MBA has a Child and Vulnerable Adult Protection Policy and will seek to discuss any concerns with me. However, in the unlikely event that the delay in obtaining my consent will pose a threat to my child or vulnerable adult the event leader may act to protect them. ^* (required)

I agree

I disagree

I will not record or publicly share any content, in particular images or materials produced by or containing images or recordings of other participants ^* (required)

I agree

I disagree

Please provide any relevant information regarding your young person which will help us to make the sessions accessible to them.

Signed ^* (required)

Date Signed