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Contact & Permissions Form

This form is to be completed by the parent/guardian if the young person is aged 17 or younger or by the young person themselves if 18 or over. We will not pass your details onto any third party.

1) Personal Contact Details

2) Health Details

3) Emergency Contact Details (Parent/Guardian)

4) Second Emergency Contact Details

5) Travel Details

6) Media Consent

7) Responsibility Details

  • I understand that as Parent/ Guardian of the above named young person it is my responsibility to inform SeaChange Arts staff of any changes to the information stated on this form, including medical information, contact and travel details.
  • I understand that SeaChange Arts holds a Child Protection Policy and that it is available to me should I wish to read it.
  • I know and understand the risks involved in circus and physical activity and give permission for the above named young person to take part in this activity.
  • I understand that it is my responsibility to inform SeaChange Arts staff of any changes to the information on this form, including medical information, contact and travel details.
  • I understand that SeaChange Arts holds a Child Protection Policy and that it is available to me should I wish to read it.
  • I know and understand the risks involved in circus and physical activity and accept responsibility for my participation in these activities.
Please review the Drill House code before your session.