Consent Form – Create and Calm Workshop

About the Workshop

Create and Calm

A gentle, playful introduction to yoga and mindfulness for children aged 5–10. Sessions include age-appropriate yoga postures, breathing games, mindfulness and relaxation exercises, and calm creative activities. No prior experience is needed. Children should wear comfortable clothing suitable for movement and bring a water bottle.

Naomi Standing

Deputy Headteacher and fully qualified Children's Yoga & Mindfulness Teacher (Yoga Alliance certified). DBS checked.

Helen Ide

DBS checked and First Aid trained; acts as the designated First Aider for all sessions.

Child's Details

Full name *

Please enter the child's full name

Date of birth *

Please enter date of birth

Age on workshop date *

Please enter age on workshop date

Sessions attending *

Fri 7 Aug Mon 17 Aug

Please select at least one session

Home address & postcode *

Please enter home address

Parent / Guardian Details

Full name *

Please enter your full name

Relationship to child *

Please enter relationship to child

Home address (if different from child's)

Mobile number *

Please enter a mobile number

Email address *

Please enter a valid email address

Alternative emergency contact (name & number) *

Please provide an emergency contact

Medical & Allergy Information

Please complete this section in full. Accurate medical information helps us keep your child safe. All information is kept confidential and shared only with session staff on a need-to-know basis.

Does your child have any allergies? *

Please complete this field

Does your child carry an adrenaline auto-injector (e.g. EpiPen)? *

Please complete this field

Any other medical conditions *

Please complete this field

Any medication needed during the session *

Please complete this field

Dietary requirements *

Please complete this field

Any injury or physical condition relevant to yoga participation *

Please complete this field

GP name & surgery telephone number *

Please enter GP details

Consent Declarations

Health, Safety & Safeguarding Information

Safeguarding: Both instructors (Naomi Standing and Helen Ide) hold enhanced DBS checks. Bond Yoga operates in line with safeguarding best practice for children's activity providers.
First aid: Helen Ide is First Aid trained and will be the designated First Aider on site throughout each session. A stocked first aid kit will be available at the venue.
Supervision ratios: Children will be supervised at all times at a ratio appropriate for the age group and activity, in line with recognised out-of-school club guidance.
Risk assessment: A written risk assessment is carried out for the venue and activities at Defford Village Hall, covering the activity space, equipment, fire safety and emergency procedures.
Fire & emergency procedures: Fire exits and the assembly point at Defford Village Hall will be identified to children and staff at the start of each session.
Allergy & medical management: Bond Yoga follows current UK guidance for allergy and anaphylaxis management in children's clubs (Anaphylaxis UK guidance for wraparound care and holiday clubs). Please ensure the medical information above is complete and up to date.
Incident reporting: Any notifiable accident or incident will be recorded.
Illness policy: Please do not bring your child if they are unwell, have a temperature, or have had sickness or diarrhoea in the previous 48 hours.
Insurance: Bond Yoga holds public liability insurance covering the workshop activities.
Drop-off & collection: Please bring your children promptly for the start of the session at 10am. Children should be brought into the hall and parent will be asked to sign them in. Upon collection children should be signed out. A password system will operate for adults collecting children who are not known to the providers. This MUST be communicated to providers at the beginning of the session.
Data protection: Information provided on this form is held securely by Bond Yoga in accordance with UK GDPR and the Data Protection Act 2018, used only for the safe running of this workshop, and not shared with third parties without consent.

Please read each statement carefully and enter your initials to confirm your agreement.

Review & Submit

Please check all details carefully before submitting. Use the Edit buttons to return to any section.

Child's Details

Parent / Guardian Details

Medical & Allergy Information

Consent Declarations

Declaration & Signature

Parent/Guardian signature (print full name) *

Please enter your full name as signature

Date *

Please enter the date

By typing your name above you confirm that all information provided is accurate and complete, and that you have read and agreed to all declarations on this form.

✓

Thank you,

Your consent form has been submitted successfully to Bond Yoga.

A copy of the completed form has been downloaded to your device as a PDF — please keep this for your records.

Please contact naomi@bondyoga.co.uk if you have any questions.

Return to Bond Yoga

Parental / Guardian Consent Form

Create and Calm

Child's Details

Parent / Guardian Details

Medical & Allergy Information

Consent Declarations

Review & Submit

Declaration & Signature

Thank you,