Permisison To Play - Barry

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Child’s name
Age / DOB:


There are various activities/situations at KidsStop that we need to ask your permission for.

Please indicate whether you give permission for your child to participate in these activities by signing below.

Bikes / Scooters


Water Play


Face Painting/Nail painting

Permission to Play

I understand the play ethos and that my child will be allowed to play inside and outside freely. I understand that vigorous Risk assessments are in place for play types such as climbing trees and tyre play. I understand that I have access at all times to these risk assessments should I wish to see them.



Emergency medical treatment

In the case of emergency whilst at KidsStop.

If my child is involved in or has a serious accident whilst at kidsStop I hereby give permission for a member of KidsStop staff to seek the appropriate medical attention.

I expect a member of KidsStop staff to contact me on my emergency contact number given as soon as it is possible.

In the event of my child needing emergency treatment at hospital before my arrival I give permission for that member of staff to consent to emergency treatment on my behalf.

I understand this authorisation to remain valid unless I inform the Manager otherwise.



Child’s name
Age / DOB:
Doctors Name
Doctors Address
Doctor’s telephone number
Any other relevant medical information (allergies/conditions)


Emergency contact telephone numbers
Child’s Medical Number (if known)


Leave this empty:

Signature Certificate
Document name: Permisison To Play - Barry
Unique Document ID: a1b811f1f4af37d3077180a0f07e5ee7d2eedaa8
Timestamp Audit
5th October 2017 5:33 pm GMTPermisison To Play - Barry Uploaded by Nikki Sexton - IP