Parental Consent Form

The Outer Edge requests that all charity event participants are aged 18 or over unless they are
accompanied by a parent or a legal guardian (a minimum age of 14 applies). A teacher or youth leader
acting in loco parentis is not adequate. The parent or legal guardian must complete this Parental
Consent Form prior to the event and will need to remain within sight and earshot of the child – this
will normally mean that they need to be with the minor whilst they prepare and accompany them as is
reasonably practicable during their participation. If your child is taking part and is aged 14-17, please
complete this form and bring it with you on the day.

Bristol’s Big Leap on behalf of Cancer Research UK.

The Observatory, Clifton Down, Bristol. Sunday 8th August 2010.

Participant Details

Name:………………………………………………………………………………............................
Address:…………………………………………………………………………….............................
…………………………………………………………….Postcode:…………....…………………...
Age:……………(years)……………..(months) on the day of the event

Agreement

I confirm that I am the parent/legal guardian of the person named above and give my consent to their
participation in the above charity event and will remain within sight and earshot during participation.

Signed:…………………………………………………………………………..Date:……………….
Name:…………………………………………………………..Relationship:……………………….

The Outer Edge and Bristol’s Big Leap will not share your details with any third parties and information disclosed will be treated strictly
confidentially. The Outer Edge may wish to let you know of other outdoor events/courses in the future, should you not wish to be contacted
about these then please tick here:

Charity Number: 1089464

Event subject to licensing.