Youth Programs: Parent Consent Form

Welcome! YPRL requires parents or guardians to provide consent for their child (under the age of 18) to participate in various events and activities in our library branches. Please complete the form to ensure your young person can safely and fully engage in our program.

In keeping with our Child Safety Policy, we need you to fill in the form below before your child can attend our event.

Branch where event is being held. *

Full name *

Preferred name

Pronouns

Library membership number *

Email *

Date of birth *

Suburb or postcode *

Emergency contact: Name and relationship to young person *

Phone number *

Allergies or medical conditions we should be aware of?

I am happy for photos to be taken of my child at this event for promotional purposes of YPRL only.