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Leafy Legends Session Consent Form

Participant Information

First name

Last name

Phone

Emergency contact number for you (not your number if attending)

Birthday*

Day

Month

Year

Gender*

Male

Female

Other

Health & Safety

Any allergies, medical conditions, prescribed medication, or emergency advice?*

a. Yes

b. No

If yes, please provide details.

Any special dietary requirements?*

a. Yes

b. No

If yes, please provide details.

Special needs or requirements

a. Yes

b. No

If yes, please provide details.

Emergency Contact Information

Emergency Contact Name*

Preferred Phone Number*

Start Date*

Consent & Acknowledgements

I understand activities may include tools, rope swings, fire lighting, den building, campfire cooking, and craft work.

I consent to the named child receiving necessary medical treatment for any injury or illness while at Leafy Legends.

Additional Permissions

I give my consent for photographs of the named child to be used for publicity by Leafy Legends. Including Social Media

Yes

I give my consent for videos of the named child to be used for publicity by Leafy Legends. Including Social Media.

Yes

I would like to receive occasional emails about special offers and upcoming events.

Yes

Guardian Information

Your Name *

Relationship to Participant *

Signature

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07850613301

leafylegends@outlook.com

Cavendish Fields

Matlock

DE4 3HL

What three words

oblige.obligated.unspoiled

Bushcraft Shop

T&C's

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Leafy Legends Session Consent Form

Participant Information

Health & Safety

Emergency Contact Information

Consent & Acknowledgements

Additional Permissions

Guardian Information

© 2025 Leafy Legends Forest School