Allington Baptist Church Youth Club Consent Form

ABC Youth Trip Fri 10th October 2025

Dear Parent/Carer, we will be taking a trip to Maidstone Climbing Experience, Unit G15 Baltic Wharf, St Peter’s Street, Maidstone, ME16 0ST, with the young people on Friday 27th March (6pm-7.30pm). Please sign below if you would like your child/young person to attend. Parents will need to drop off their kids at the entrance at 5:40 pm and pick them up at 7:30 pm.

Youth Club Consent Form

Child’s Full Name(Required)

First Last

Child’s Date of Birth

Parents/ Carers’ name

First Last

Parents/ Carers’ Telephone no,(Required)

Name & Telephone Number of Medical Practice/Surgery

First Last

Mobile tel. no.

Does your child have any medical conditions which may need emergency treatment? Asthma? Severe Allergies? Please give details below.

Does your child carry an asthma inhaler, Epi pen or other medical device? Please give details below

I will ensure that my child carries any required emergency medication with them, and I give consent for any emergency treatment to be carried out

I give consent for my child to join in the above outing/activity.

Please Sign Here