Consent template
A guardian's permission for a programme and its activities, with collection, photographs, swimming and health all answered as fields.
Not a sample we wrote for this page. This is the document the product puts in your account, as a draft, the moment you say what you do.
Name your trade during setup — summer camps, schools and field trips — and this is waiting for you, already written, in your words, with the blanks marked and the points a lawyer settles flagged for one. Edit it, or paste in what you already use. It is a starting point and not legal advice: the wording is yours to change and your attorney's to check.
Read off the document itself, so this list cannot drift away from what the document actually asks for.
guardian name · participant name · date of birth · date · program name · business name · start date · end date · activities · trips · supervision ratio · authorised collectors · health notes · swim ability · photo permission
15 blanks. They are filled once per send, from what you already know or from your own system through the API. They go into the document; they do not change its wording, and what somebody signed is the version they were shown.
These are the notes already written into the document, not our opinion about the law where you operate. The product refuses to send a document with one still in it, which is the point of them.
check the rules on photographing and identifying children where you operate, and whether a separate signed release is required.
in many places a guardian cannot release a minor's own claim; check what this document can and cannot do where you operate, and what a licensed programme is required to include.
SignSealer does not give legal advice and this document is not legal advice. What it does is put the questions in front of you before somebody signs, rather than after.
The real text, with the blanks shown as blanks and the notes above lifted out so they are read rather than skimmed past.
Guardian Consent and Activity Permission
I, guardian name, am the parent or legal guardian of participant name, born date of birth, and I sign this on date for program name at business name, running from start date to end date.
1. Permission. I give permission for the child to take part in program name and in the activities it includes, which are: activities. I have read what each involves and I am satisfied the child can take part.
2. Off site. I give permission for the child to leave the site for the trips listed here — trips — supervised by business name's staff, and to travel to them as set out in the transportation authorization.
3. Supervision and behaviour. I understand the ratio of staff to children is supervision ratio, that the child is supervised during programme hours and not before or after them, and that I am responsible for the child at all other times. I have read the code of conduct and I understand that a child who repeatedly breaks it may be sent home at my cost.
4. Collection. The child may be collected only by me or by the people named here: authorised collectors. Anybody collecting the child may be asked for identification.
5. Health. The child's health, allergies, medication, dietary needs and anything staff should watch for are written here: health notes. Medication is handed to staff labelled and in its original container, with written instructions.
6. Sun, water and heat. If the programme includes swimming or open water, the child's ability is: swim ability. I understand that a child whose ability is not what I have written here is at risk, and I have written it accurately.
7. Photographs. Whether the child's image may be used, and where, is set here: photo permission. If I say no, that answer is respected in every publication and posting.
8. The risks. Group activity with children carries risks that supervision reduces and cannot remove. I accept the ordinary risks of the activities listed, and nothing here waives a claim the law does not allow a guardian to waive on a child's behalf.
By signing I confirm that I am the child's parent or legal guardian, that I have read this, and that I meant to sign it.
Other documents of the same kind in the library.
A guardian's consent for a minor aboard, including the life jacket rule and the adult responsible for them on the boat.
A short record made at handover, signed by both sides, saying what condition a thing was in before it left.
Who to call, what a clinician needs to know, and permission to get a child treated and transported when a parent cannot be reached.
A parent or legal guardian's consent for a child to take part, signed by the adult rather than written on the child's form.
Before a colour, a lightener or a smoothing treatment: what is already on the hair, what cannot be promised, and the patch test answer.
A guardian's consent for a minor on the line, naming the responsible adult who will be within arm's reach.

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