Activity Consent Form Activity Consent Form Step 1 of 3 0% CHILD'S NAME First Last D.O.B.*DayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Membership TypeNon MemberMemberKing's School PupilACTIVITY ATTENDED | Please tick all that apply Badminton Basketball Football Strength & Conditioning Squash Swimming Lessons Tennis Medical Conditions | Allergies* Parent | Carer Details Prefix MrMrsMissMsDrProf.Rev. First Name Last Name House Number | Street Address Line 2 City Post Code Email Address*Please do not copy and paste email address. Enter Email Confirm Email Contact Phone Numbers*Please note; we must be able to contact you on one of the numbers provided in the event of an emergency. MOBILE Contact Phone Numbers*Please note; we must be able to contact you on one of the numbers provided in the event of an emergency. HOME Photography & Videography Consent*I consent to The King’s School Recreation Centre photographing and/or videoing the above named child and confirm that I have read the organisations “Protection of Personal Data” and “Taking, Storing and Using Images of Children” policy which explains how the organisation will use these images or videos in future and how they will be stored within the organisation. https://www.junior-kings.co.uk/policies/ I GIVE Consent for the above photography & videography I DO NOT give consent for the above photography & videography Please see the Protection of Personal Data section of The School website for our Privacy Policyhttps://www.kings-school.co.uk/policies/Parent | Carer Declaration*By signing this form, I agree to my knowledge that my child has no special care needs, dietary requirements, allergies or medical conditions, other than those declared on this form, that could affect their safety whilst at the Centre. I understand that in the event of an injury, illness or other medical needs, all reasonable steps will be taken to contact me (on the numbers provided) in order to deal with the situation appropriately. I understand that I must inform the Centre of any changes to the information provided on this form. Please be aware, all information provided on this sheet will be used for Recreation Centre purposes only. Please tick here as your signature of declaration.