YOUNG PARTICIPANTS

Consent Statement

My child is in good health and I consider them capable of taking part in the LSH Surrey Tartan Trails.

I consent that in the event of an emergency any necessary treatment can be administered to my child, which may include the use of anaesthetics.

I understand that while the event organisers, their employees, event officials, authorised agents, sub-contractors and volunteers will take reasonable precautions to ensure accidents do not happen, they cannot necessarily be held responsible for any loss, damage or injury suffered by my child.

May we use your child’s image for promotional purposes, including printed publications, website and videos?

Please circle – Yes / No

If you do not wish your child to be photographed please let them know so they are not disappointed when group photos are taken.

I have read, understood and agree the above. This form must be submitted in conjunction with the booking form to complete the entry process.

Signature ______________________________________________

Date ________________________

Your Name (in block capitals) ________________________________________________________

Child’s Name ________________________________________________________

Age Group ___________________

Relationship to Child ______________________________________