Thank You!!

For Joining Our Outdoor Activity

Below is a very important form that needs to be filled in so that we can gain your specific and formal consent regarding our outdoor activity.
We tried to keep the form as brief as possible.

Please Be aware
Your child cannot come with us on this activity unless you fill out this form accurately and before we leave.

    Parents/Guardians Details

    Name of Parent or Legal Guardian(required)

    Address (required)

    Mobile no. (required)

    Email (required)

    Details of Participant

    • First Child

      Full Name (required)

      Date of Birth (required)

      Does this child have any allergies (required)


      If yes please give details below

      Does this child have any medical conditions (required)

      If yes please give details below

    • Second Child

      Full Name (required)

      Date of Birth (required)

      Does this child have any allergies (required)


      If yes please give details below

      Does this child have any medical conditions (required)

      If yes please give details below

    • Third Child

      Full Name (required)

      Date of Birth (required)

      Does this child have any allergies (required)


      If yes please give details below

      Does this child have any medical conditions (required)

      If yes please give details below

    Pick Up

    When we arrive back, do you give permission for your child to go home on their own?


    Islam Channel

    Islam Channel will be covering this outdoor event. Do you give permission for your child to potentially be filmed during an activity or interviewed about their experience?

    • Do you give permission for your child to be recorded during activities?
    • Do you give permission for your child to be interviewed?

    Is All Correct?

    If you agree that the details entered above is 100% accurate please check the below.