O.L.L.Y Member Registration | Online Member Registration

O.L.L.Y Consent Form

Section 1 - Child & Parent/Guardian Details

Basic identification and contact details ensure that we know who each child is and can quickly reach parents or guardians if needed. Having accurate addresses helps verify the family’s location for any mail communication or emergency planning.

Child’s Details

Child’s Name(Required)

Child’s First Name Child’s Surname

Child’s Date of Birth(Required)

Child’s Address(Required)

House/Flat Number & Street City County Postcode

Parent/Guardian Details

Parent/Guardians Name(Required)

Parent/Guardian First Name Parent/Guardian Surname

Parent/Guardian Address(Required)

House/Flat Number & Street City County Postcode

Landline Telephone Number(Required)

Mobile Telephone Number(Required)

Email Address(Required)

Section 1 End

Section 2 - Health Declaration

We gather essential health and emergency contact information to ensure we can respond quickly and appropriately in case of a medical emergency

Child’s Gender(Required)

Male

Female

Other

Prefer not to say

Please Provide Childs Gender(Required)

Emergency Contact Details (Two contacts required)

Emergency Contact 1

Name of Emergency Contact 1(Required)

First Name Surname

Home Telephone Number(Required)

Mobile Telephone Number(Required)

Is the Address of Emergency Contact 1 the same as Child’s Address?(Required)

Yes

No

Please Enter Emergency Contact 1 Address(Required)

House/Flat Number & Street City County Postcode

Emergency Contact 2

Name of Emergency Contact 2(Required)

First Name Surname

Home Telephone Number(Required)

Mobile Telephone Number(Required)

Is the Address of Emergency Contact 2 the same as Child’s Address?(Required)

Yes

No

Please Enter Emergency Contact 2 Address(Required)

House/Flat Number & Street City County Postcode

Other Useful Information(Required)

Please state any other information you think would be useful to us (e.g., disabilities, allergies)

Section 2 End

Section 3 - Doctor/Healthcare Information

In case of a medical issue or emergency, having the family doctor’s details means we can quickly get accurate medical advice or history for your child. This is essential to ensure prompt, informed medical care if needed.

Family Doctor’s Full Name(Required)

Prefix First Name Surname

Doctor/Healthcare Telephone Number(Required)

Address of Doctor’s or Healthcare Centre(Required)

Number & Street City County Postcode

Section 3 End

Section 4 - Child’s Medical Information

This section covers specific health needs like medications, medical conditions, phobias, or dietary requirements. Understanding these details allows us to plan activities that accommodate each child’s needs and ensure they receive proper care, especially if certain foods or activities could pose a risk.

Disabilities or Special Needs(Required)

Are there any disabilities or special needs we need to know about?

Medication(Required)

Is your child on any current medication (e.g., antibiotics)?

Ongoing Medical Conditions(Required)

Does your child have any ongoing medical conditions that require medication (e.g., asthma, hay fever)?

Dietary Needs(Required)

Does your child have any special dietary needs or foods that should be avoided?

Concerns(Required)

Does your child have any other concerns (e.g., fear of dogs, fear of water, bedwetting)?

All medication should be handed to the Session Leader and will be provided to the child when needed. If the medication needs to be carried by your child, this must be agreed upon with the organisers.

Section 4 End

Section 5 - Education/School Information

Knowing the school’s contact information helps coordinate schedules and ensures that we can reach out to the school if needed, especially for planned events that may coincide with school hours or for confirming attendance.

School Attending(Required)

School Contact Phone Number(Required)

Section 5 End

Section 6 - Promotional/Marketing Consent

Photographs may be used in promotional material to showcase our work and events. This section respects parents’ privacy choices by asking for explicit permission before including their child’s image in any publications or online materials.

Consent(Required)

Yes - I give permission for my child’s photo to be taken at any O.L.L.Y sessions or trips out

No - I do NOT give permission for my child’s photo to be taken at any O.L.L.Y sessions or trips out

Childs Name(Required)

Child’s First Name Child’s Surname

Section 6 End

Section 7 - Activities and Swimming Aptitude

This information ensures that activities are suitable for each child’s skill level, particularly for water activities that require swimming ability. Additionally, gaining permission for day trips and events allows us to plan confidently and know each child has approval to participate.

Swimming Aptitude(Required)

Please select your child’s swimming ability

Ardent Swimmer

Average yet confident in water

Unable to swim

Consent for Session/Day Trips/Holidays(Required)

Yes - I give consent for my child to participate in sessions, day trips, and holidays arranged by O.L.L.Y

No - I do NOT give consent for my child to participate in sessions, day trips, and holidays arranged by O.L.L.Y

Childs Name(Required)

Child’s First Name Child’s Surname

Section 7 End

Section 8 - OLLY Rules

Setting clear behaviour expectations helps create a respectful, safe environment for all participants. Acknowledging the rules and warning policy ensures that both children and parents understand our standards and agree to support them.

Rules:

1. No foul language.
2. No abusive language.
3. No threatening behaviour.
4. No physical abuse.

OLLY Rules Confirmation(Required)

If my child breaks these rules, I understand they will receive one warning, after which a meeting will be arranged with the charity.

Childs Name(Required)

Child’s First Name Child’s Surname

Parent/Guardian Name(Required)

First Name Surname

Parent/Guardian Signature(Required)

Enter Today's Date(Required)

Section 8 End

Section 9 - Final Declaration and Agreement

This final section ensures all provided information is accurate and gives consent for data usage in accordance with the organisation’s privacy policy. This agreement helps protect both the organisation and the family by establishing trust in how information is handled.

Declare that All Information Provided is Correct(Required)

I, the Parent/Guardian, declare that all information is correct.

Parent/Guardian Name(Required)

First Name Surname

Parent/Guardian Signature(Required)

Today’s Date(Required)

Section 9 End

Comments

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