This form has have been designed to primarily safeguard your children whilst in the care of Staverton Kids Club and to avoid any confusion on what you the parent/guardian will permit. 

Each section is detailed with an explanation as what you are permitting, any section that you DO NOT wish to give permission for please comment in the box below so that when you sign the agreement at the end all parties are fully aware of the permissions. 

Permission to apply sunscreen

I would like sunscreen to be applied to my child when he/she plays outside on warm sunny days or remind my child to put on sunblock;

I will provide a sunscreen with a sunscreen factor adequate for my child on days I feel it is needed.

I will mark my child’s name on his/her sunscreen container.

Permission to go on outings 

I give my permission for my child to be taken on outings which have been planned (farms, swimming pools, parks etc), or spontaneous outings to local parks. 

I am aware that on occasions planned outings may incur an additional charge, this will be discussed prior to the outing taking place.

Permission to be transported in a Car/public transport 

I give my permission for my child to be transported in a car or on public transport should the club go on an outing.  

Permission to Play On Outdoor and Indoor Play Equipment 

I give permission for my child to play on large play equipment outside and in local parks or playgrounds. I give permission for my child to play on indoor play equipment. 

Permission to Play on Scooters, Bicycles and Roller Skates

I give permission for my child to play on bicycles, scooters and roller skates 

I confirm that I have read and fully understand all the above and fully agree to these. 



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