Paddlesport consent form (T4)

Complete one form per participant before the activity. For anyone under 18, a parent or carer must complete and sign it. You will need contact details and medical information.

This is the club’s online version of the T4 Paddlesport Consent Form (updated 22 March 2021). If you would prefer to discuss any part of it, contact the club before the event. Please also confirm attendance in Spond.

1. Event and activity

Choose your event

Events come from the club calendar. If yours is missing, choose Other event and copy the details from Spond.

Date you will attend

Activity / event details

Describe the activity you are consenting to, including the event name if you selected Other event.

2. Participant and home contact

Participant’s full name

Will the participant be under 18 on the activity date?

Yes

Participant’s date of birth

Parent / carer’s full name

Parent / carer’s relationship to the participant

Address line 1

Address line 2 (optional)

Town or city

Postcode

Home telephone (optional)

Mobile / main contact telephone

Adult participant or parent / carer’s email

We will send a receipt to this address.

3. Emergency contact

Give a contact who can be reached during the activity. If they will be away from home, use the address where they can be contacted.

Emergency contact’s full name

Relationship to participant

Address line 1

Address line 2 (optional)

Town or city

Postcode

Emergency contact home telephone (optional)

Emergency contact mobile / main telephone

6. Medication and support needs

Does the participant have a condition requiring medical treatment or medication?

Yes

Condition

Medication

Method (for example injection or inhaler)

Dosage and frequency

Other information that could affect how we work with the participant (optional)

Pain / flu relief medication that may be given if necessary

If none may be given, enter None.

7. Medical consent and signature

I consent to appropriate first aid for myself / my child and, in a medical emergency, treatment which a qualified medical practitioner considers necessary, subject to the exclusions I specify below.

Treatments excluded from consent

Your full name (electronic signature)

Your relationship to the participant

Enter Self if you are the adult participant.

Date signed

By typing my name I sign this consent form. I am the adult participant or the participant’s parent / carer and am authorised to give this consent.

Read our privacy policy. The nominated organiser must make relevant information available to the person in charge, store it safely and review it annually. Contact the club if any details change before the activity.