Allington Baptist Church Youth Club Consent Form

ABC Youth Senior Group: Prison Escape Fri 16th Oct.2026

Dear Parent/Carer, we will be taking children to a Prison Escape Event at Prison Island Maidstone, 60-61 High St, Maidstone ME14 1SR on Friday, 16th Oct. 2026!

You can drop off your child at 6:45 PM, and we’ll be ready for pick-up at 8:30 PM.

Please sign below if you would like your child/young person to attend.

Youth Club Consent Form

Child’s Full Name(Required)

First Last

Child’s Date of Birth(Required)

Parents/ Carers’ name

First Last

Parents/ Carers’ Telephone no,(Required)

Email(Required)

Name & Telephone Number of Medical Practice/Surgery(Required)

First Last

Mobile tel. no.(Required)

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

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

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(Required)

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

Please Sign Here(Required)