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Pedestrian Training Consent Form
Darlington Borough Council Online Forms
Pedestrian Training Consent Form
Data storing consent
Consent for storing submitted data
*
Your data is kept securely and we will not share your data with any other parties.
Yes, I give permission to store and process my data
Child's details
Please complete this form to give consent to your child taking part in the pedestrian training programme planned at your child's school
Child's name
*
Please enter your child's name.
School name
*
Please select the school your child attends from the drop-down box.
Abbey Infants' School
Abbey Junior School
Bishopton Redmarshall CofE Primary School
Corporation Rd Community Primary School
Firthmoor Primary School
Gurney Pease Academy
Harrowgate Hill Primary School
Heathfield Primary School
Heighington CofE Primary School
High Coniscliffe CofE Primary School
Holy Family RC Primary School
Hurworth Primary School
Mount Pleasant Primary School
Mowden Infant School
Mowden Junior School
Northwood Primary School
Polam Hall School
Red Hall Primary School
Reid Street Primary School
Skerne Park Academy
Springfield Academy
St Augustine's RC Primary School
St Bede's RC Primary School
St John's Church of England Academy
St Mary’s Cockerton Church of England Primary School
St Teresa's RC Primary School
St George’s Church of England Academy
The Priory Hurworth House School
The Rydal Academy
West Park Academy
Whinfield Primary School
Please tell us which class your child is in. This will help us group the children.
*
Which year group is your child currently in?
*
Year 1
Year 2
Year 3
Applicant details
First name of person completing this form
*
Surname of person completing this form
*
Relationship to child
*
Email address
*
Parent/carer's telephone contact number
*
Other
Please list any medical or special needs information which you think is necessary for the health and safety of your child the instructor needs to know.
Medical Consent
*
In the event of an emergency, if I am not contactable on the phone number provided I consent to my child receiving medication or treatment deemed necessary from the appropriate authorities present.
Yes I consent
No I do not consent
Pedestrian Training Consent
*
Please check the appropriate response below to give consent to allow your child to take part in Pedestrian Training.
Yes I consent
No I do not consent to my child participating
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