CYCLE SEAHAVEN YOUTH GUEST PARENTAL CONSENT FORM

  *** This form must be completed before the start of each ride *** 

A youth rider under 18 years old must have this form completed and be accompanied by a parent, guardian or other adult acting as loco parentis (CSH member or guest).

I understand that: 

  • Children/young persons must wear a properly fitting cycle helmet and ride a road worthy bike.
  • I am responsible for ensuring the ride/event is suited regarding the ability and experience of my child/young person. 
  • My child/young person will likely be cycling with other adults/children unless prior arrangements have been made with the Ride Leader. 
  • In the event of accident, the Ride Leader might act in loco parentis to administer emergency first-aid. 
  • Cycle Seahaven do not offer ride programs specifically aimed for children/young persons, and Ride Leaders do not undertake a Disclosure and Barring Service check.
  • Cycle Seahaven occasionally take photographs for publication in the Club Newsletter and website, and that my child might be included in a photograph. If I have concerns regarding this I will let the Ride Leader know beforehand.
  • By completing this form I am agreeing these details can be passed to the Ride Leader who may contact me for any necessary discussion beforehand. 


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Full name & title of adult giving consent *
If a CSH member please give membership number. 
If a Non-Member please give address & telephone number.
 *
Email Address  *
Relationship to youth *
Name of youth guest rider *
Age of youth guest rider *
Previous riding experience  *
Ride date
*
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Name of Ride Leader *

I acknowledge & accept my Guest Youth is participating in Cycle Seahaven rides/events under my supervision & at own risk, as neither Cycle Seahaven nor event organisers shall be liable for loss or damage caused to my Guest Youth or their possessions. I understand that Cycle Seahaven, its members, agents and other participants occasionally take photographs for club publication purposes only but any identifiable photographs will not be published without parental consent.

 *
Required
 Your supplied information will be held for a 3 year period before deletion,  used only for Cycle Seahaven guest purpose, and not passed to any other organisation without your permission. A copy of Cycle Seahaven’s Privacy Policy can be viewed on our website under Policies & Documents.
(Revised March 2024)
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