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. 

I understand that: 

  • 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.
  • My child/young person will likely be cycling with other adults/children unless prior arrangements have been made with the Ride Leader. 
  • Children/young persons must wear a properly fitting cycle helmet, ride a road worthy bike, and only participate in a ride/event that suits their ability/experience. 
  • In the event of accident, the Ride Leader might act in loco parentis to administer emergency first-aid. 
  • I am agreeing my young persons details can be passed to the Ride Leader who may contact me for any necessary discussion beforehand. 
  • Ride Leaders and other riders may take photographs for club publication purposes only but any identifiable photographs will not be published by Cycle Seahaven without parental consent.


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Title & full name of consenting adult *
Address 
 *
Postcode 
 *
Mobile phone number *
Email Address  *
Relationship to youth *
Name of youth guest rider *
Age of youth guest rider *
Previous riding experience  *
Ride date
*
MM
/
DD
/
YYYY
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. 

 *
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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