SSPSK Parental Consent Form

Permission from a parent or guardian, use by use. Nothing is assumed.

Draft for approval by the SSPSK Board.

Please read first

A child cannot give consent to the use of their own information; a parent or guardian must (Data Protection Act, 2019). This form asks for it one use at a time. Tick only what you agree to. A tick for one use is not permission for any other. The coach may not use your child's name, photo or details for anything you have not ticked.

What we collect, and no more

The coach keeps a club register with only: your child's name, your name and phone number, an emergency contact, and a medical note relevant to stacking (for example, an allergy). We do not collect a home address, a child's personal phone number, or health, family or disciplinary information.

How your child is contacted

Coaches contact you, the parent, never your child directly and never through a group chat that includes children.

Your rights

You can withdraw any consent at any time by contacting the SSPSK Safeguarding Focal Point (Gilbert Kipkemoi Kiprop; contact details are being confirmed by SSPSK). Withdrawing consent for photos or data does not affect your child's place in the club. Withdrawing consent for participation ends the place. You can ask for your child's information to be deleted.

Keeping this form

This form is completed and printed on your device. It is not sent to or stored by the Safe Stacks website. Give the printed, signed copy to the coach or the school, who keep it with the club register.

Fill this in here, then print it or save it as PDF. Nothing you type is sent to or stored by this website.

Your child

Child's full name *School *

Parent or guardian

Your full name *Your phone number *Relationship to the child

If we cannot reach you

Emergency contact's nameEmergency contact's phoneMedical note relevant to stacking (optional)Only what matters for safety at club, such as an allergy. Leave blank if there is none.

I give consent for (tick each one you agree to)

My child may take part in the SSPSK speed stacking club at the school named above.My child may be photographed or filmed for internal SSPSK records only (progress reports and communication with the school).Not shared publicly.Photos of my child may be published on SSPSK's official website and social media accounts.SSPSK's official channels only; never a coach's personal accounts. If this is not ticked, photos stay internal.SSPSK and NextGen Learners Hub may keep my child's name, school and club progress for as long as my child is in the club, and delete it when I ask.

I am the parent or guardian of the child named above, and I have read this form. I understand that I can withdraw any consent at any time.

1 November 2026

Parent or guardian's signature

Date

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