Policies | Authentism

In compliance with HSC Minimum Standards, this form must be fully completed and signed by the legal parent/guardian before the child can attend their first session.

1. Child & Identity Details

Child’s Legal Name (as on Birth Certificate):

Short answer

Preferred Name / Known As (What the child likes to be called):

Short answer

Date of Birth

Birthday

Day

Month

Year

Parent/Guardian Full Name:

Short answer

Relationship to Child:

Short answer

Primary Contact Number:

Short answer

Parent/Guardian Email:

Short answer

2. Parental Responsibility & Legal Safeguarding

HSC regulations require clear tracking of legal guardianship and collection permissions.

Who holds legal Parental Responsibility for this young person?

Name(s):

Long answer

Are there any active Court Orders, pending child services emergency injunctions, or legal restrictions stating a parent/individual is NOT permitted to see, contact, or collect the child?

Single choice

NO legal restrictions are in place.

YES (If YES, you must provide official copies of the Court Order/injunction paperwork for our secure files).

Name of person restricted from contact/collection: (If applicable)

Short answer

3. HSC Early Years Inspection Permission (Mandatory for Registration)

Notice to Parents: We are currently in the process of being registered and are subject to inspections by the HSC Early Years Provision. To prove we meet the Minimum Standards and fulfill your child's individual needs, inspectors must review our paperwork.

By signing this form, I give explicit permission for my young person’s registration records, care details, and information to be inspected by HSC Trust staff and made available as part of the official inspection and reporting process.

4. Online Policy Declaration & Digital Link

Our complete suite of operational policies—including Child Protection, Positive Behaviour Management, Infection Control, and Complaints Procedures—is hosted on the policies section of our website, www.authentism-global.com/policies

5. Standard Parental Consent Clauses

Please tick each box to confirm you understand and agree to the terms:

Online Policies Review:

I confirm that I have been directed to the online policies of the website domain. I certify that I have read, understood, and agree to abide by all the scheme's policies hosted there.

Emergency Medical Treatment:

In the event of an emergency, illness, or accident, I give permission for senior staff to administer basic first aid. If hospital treatment is required, I authorise staff to secure appropriate medical attention for my child.

Authorised Medication Access:

I understand that only designated Senior Staff will handle and administer authorised medication, and that all medication will be stored securely in a locked safety box on-site.

Off-Site Excursions & Activities:

I give permission for my child to participate in local, supervised walks and outdoor activities within the immediate vicinity of the holiday scheme site.

6. Sun Cream Protection Agreement

Please select one option that applies to your child:

Single choice

Option A: I will apply long-lasting sun cream to my child before the beginning of each session. Staff do not need to reapply it.

Option B: I will send a labeled bottle of sun cream into the group with my child. I give permission for staff to assist/supervise my child in reapplying it during the session when necessary.

7. WhatsApp Communication Consent

We use WhatsApp to send quick group updates, reminders, and daily announcements directly to parents.

Single choice

YES, I give permission for the scheme to contact me via WhatsApp.

NO, I do not want to be contacted via WhatsApp (please use SMS/Email instead).

8. Photography & Social Media Preferences

Please review the options below carefully and tick only one box to indicate your preference regarding photos of your child:

Single choice

Option 1 (Full Consent): I give permission for staff to take photos of my child and share/post them across all our social media platforms and digital channels.

Option 2 (Direct Share Only): Do NOT post my child's photos publicly on social media. I prefer that staff only send photos of my child directly to me via our secure private messaging/email channel.

Option 3 (Complete Opt-Out): Do NOT take any photos of my child at all during the scheme for any reason.

Please tick which platforms (if any) you allow:

Facebook

Instagram

Main Scheme Website

9. Emergency Contacts & Medical Alert

Alternative Emergency Contact Name:

Short answer

Number:

Short answer

Does your child have any medical conditions, allergies, or require medication?

Single choice

YES (If YES, please request a separate Medication Check-In Form from a Senior Staff member).

10. Final Parent/Guardian Declaration

"By signing below, I certify that all information provided on this form is accurate to the best of my knowledge. I acknowledge that I have been given access to the online policies via the website domain and that I accept these operational terms, communication choices, court/legal declarations, and inspection permissions for the duration of my child's attendance at the seasonal holiday scheme."

First name

Last name

Parent/Guardian Siganture

Signature

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