Parents Consent Form
The following section contains information for which we need your consent. As required by data protection we have a duty to inform you that you can withdraw this consent for any of the permissions detailed at any time. Should you wish to withdraw consent please discuss with a member of staff in the first instance.
If emergency treatment is required, either whilst your child is on the premises or on an outing, (for the duration of your child’s time with us) and the parents or legal guardians cannot be reached immediately, your confirmation below empowers the setting management to exercise their own judgement in calling a doctor/dentist indicated above or to transport the child to a hospital casualty department by ambulance. Please read and fill in the declaration below, select the statement/wording that applies to you.
I/We are the parent(s)/guardian(s) of
As the parent(s)/guardian(s) of the above child I/We
Select one option for each of the statements below
Ethnicity Background Category
All information will be kept strictly confidential, and held by your setting and Thurrock Council only. No details will be passed to any other agencies or organisations without prior consent.