Permission Form

  • To comply with the Data Protection Act 1998 and Ofsted regulations we require your permission for the following:

  • (to include visits to local parks & playgrounds)
  • I give permission for photographs or videos to be taken of my child (unidentified by their full name) to be diplayed...

  • Some Clubland activities attract elements of the media, do you consent to your child being photographed by local newspapers and other news media on the basis that their full names will be published along with their pictures?
  • Do you give permission for your child's image to appear on newspaper websites or television images? These publishers will be asked to avoid using your child's name, unless you give permission for their name to be disclosed.
  • I give permission for Clubland to use photographs to support our attainment of Surrey Early Years Quality Assurance Scheme and understand that Surrey Early Years moderators may view the photographs as part of the process.
    More information at:
  • Parent/Carer's Consent

    I have read and understood Clubland Playscheme Ltd's permission form. My decision on whether to give consent will remain valid for the duration of my child's involvement in the organisation, unless I notify them in writing.
  • Date Format: DD slash MM slash YYYY