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

Consent to Participate *

I confirm that I am the parent or legal guardian of the child named above and that I consent to their participation in the filming, photography, and/or recording (“the Material”) undertaken by Boxwave Ltd and its representatives. I understand that the filming may include interviews, training sessions, events, and general footage in connection with Boxwave’s activities.

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

Ownership and Usage Rights *

I agree that all filmed and recorded material (including images, video, and audio) will be the sole property of Boxwave Ltd. Boxwave Ltd shall have the unlimited right, worldwide and in perpetuity, to edit, use, reproduce, distribute, and publicly display the Material in all media formats — including but not limited to television, online platforms (e.g. YouTube, TikTok, Instagram), advertising, promotional content, educational resources, and any future media formats. I understand that once recorded, the Material cannot be withdrawn or deleted and I waive any rights to inspect or approve the finished product

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

No Payment or Further Approval *

I confirm that participation is voluntary and that no payment or further approval will be due for the use of the Material now or in the future.

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.