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Parental Consent Form

C.C.C.G

12, Quarry Street

Coatbridge

ML5 3PU

Kids Summer Sessions 2025


Parental Consent Form

 

Date of Birth
Day
Month
Year
Adress

In case of emergency, I authorize the organisers of the summer program to seek medical treatment for my child if deemed necessary. I understand that every effort will be made to contact me or the emergency contact listed above in such situations.


Next of Kin Contact Information:

Parental Supervision and Pick-up Time:

 

Parents are welcome to stay and sit in the community cafe. If a parent chooses to leave their child unsupervised, they must ensure that their child is picked up by the agreed time of 1:00 PM.

 

I understand that it is my responsibility to inform the organisers of any changes to the information provided in this form. CCCG do not take responsibility for child/children’s personal belongings. We advise to have name labels on any personal items.

To confirm compliance of above:

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