Consent Form for Arriving to After School Club and Holiday Playscheme Unaccompanied
Please read the statement below.

At the end of the document please supply us with any required information.

You must complete all required sections to submit this form. YOU CAN NOT SAVE AND RETURN.
Email address *
Signature
The person signing this form must be the same person named on the registration form.

Once the child has arrived, a play worker will sign them in.

The responsibility for the welfare and safety of the child only falls on Tarner Community Project once they have entered the building and they have been signed in.
Child Name *
Parent/Carer *
Time your child will be arriving to ASC or Holiday Playscheme.
What date this will start from and when it will end?
MM
/
DD
/
YYYY
Consent
I hereby give permission for my child to arrive to after school club and holiday play scheme unaccompanied.
Signature *
Date of signature *
MM
/
DD
/
YYYY
Submit
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