Parent/Guardian Full Name *

First Name

Last Name

Child's Full Name *

First Name

Last Name

Emergency Contact Number *

(###)

###

####

Does your child have any medical conditions or allergies? *

Yes

No

Physical Activity & Health *

• I understand that participation in Boxwave activities involves physical exercise and carries a risk of injury. I confirm that my child is in good health and able to participate. • I agree to release Boxwave, its coaches, staff, and volunteers from any liability for injuries, accidents, or health issues that may occur during the event. • I acknowledge that I am responsible for informing Boxwave of any relevant medical conditions or special requirements.

I have read and agree to the terms of the health & safety waiver.

Filming, Photography & Media Consent *

• I give permission for my child to be filmed and photographed during the Boxwave event. • I understand that this content may be used by Boxwave on social media, websites, printed materials, or in future promotions to inspire and help others. • I understand there will be no financial payment for the use of any content featuring my child, and that content may be shared widely online.

I have read and agree to the terms of the health & safety waiver.

Wellbeing & Safeguarding *

• I understand that Boxwave staff will be supporting children’s confidence and mindset as part of the day’s activities. • I confirm I am the legal parent or guardian of the named child and take full responsibility for their participation. • I understand that Boxwave staff are DBS-checked and follow strict safeguarding procedures.

I have read and agree to the terms of the health & safety waiver.

Final Confirmation *

• I confirm that I have read and understood all of the above information. By submitting this form, I give my full consent for my child to take part in Boxwave activities under these terms.

I have read and agree to the terms of the health & safety waiver.