Permission Form

Fields marked with an * are required
This form has have been designed to primarily safeguard your child/ren whilst in the care of Daventry Kids Club and to avoid confusion on what you as the child’s parent/guardian will permit.

Each section is detailed with an explanation as what you are permitting, any section that you DO NOT wish to give permission for please comment in the box below.


If applicable, I agree that I will list all food allergies below and any other allergies that my child has and take all responsibility for any reactions to foods not listed.


Daventry Kids Club has no liability for any damage/loss to electronic devices that do not belong to the club (i.e. Nintendo DS, PSVita, etc). No mobile phones or tablets are allowed in the setting bar those that belong to the club.


I agree for my child to be applied with sun protection cream by a staff member when he/she plays outside on warm sunny days or for a staff member to remind my child to put sunblock on; I will provide a sunscreen with a sunscreen factor adequate for my child on days I feel it is needed. I will mark my child’s name on his/her sunscreen container.


I agree that staff members at Daventry Kids Club may take photographs / videos of my child undertaking activities whilst in their care.


I agree that my child’s images can be added on Daventry Kids Club Website and Facebook page.


Occasionally the children might watch a U rated or PG movie. I agree that my child can watch these movies.


I consent to any emergency medical treatment necessary whilst my child is at Daventry Kids
Club. I authorise the staff to seek any necessary emergency medical advice or treatment.


I agree that Daventry Kids Club staff may take my child off site to take part in activities for
example – parks, libraries and other recreational activities.


I agree to my child’s face and hands be painted whilst at Daventry Kids Club.


I give permission for my child to play on outdoor play equipment in our club, parks or playgrounds whilst in the care of Daventry Kids Club. I am aware that the staff will ensure the safety of the children however understand that accidents could happen and happy for my child to play on outdoor play equipment.

I confirm that I have read and fully understand all the above and agree to these.

I have read and agree to the permissions *