This form sets out the terms and conditions on which you agree that your child will participate in activities conducted at or by NSW Friendship Circle. Your child can only participate in activities conducted at or by NSW Friendship Circle if a parent/ guardian has completed this form. You should only sign this form if you have read and understood everything contained in this form.

As your child is under the age of 18 years, you as parent/ guardian should complete and sign this form on your child's behalf. If you sign this form, you will be accepting responsibility for your child under Parts 3 to 6 of this form.

If your child turns 18 after you sign this form and your child is still participating in NSW Friendship Circle activities, your child must complete and sign our Adult Volunteer Agreement. It is your child's responsibility to ensure that they do this. NSW Friendship Circle can exclude your child from any activities if they do not sign the Adult Volunteer Agreement after turning 18.

1. Teen Volunteer's Details

Please enter the same email address as on the Teen Volunteer Application. This must be different to the parent's/ guardian's email address.

Please enter in this format: 614XXXXXXXX
 

Please enter in this format: Month/Date/Year
 

2. Parent's/ Guardian's Details

Please provide the details of the parent or guardian completing this form.

3. Medical Information and Permissions

Indicate N/A in any fields that do not apply.

Please describe below any relevant medical condition, injury, illness or allergy your child has or recently has suffered, or any relevant disability (including psychological), however minor, which may:

• affect your child's ability to perform any Friendship Circle activities; and/ or
• be made worse by your child's participation in Friendship Circle activities.

Do you give permission for an antihistamine to be administered if your child experiences an allergic reaction?

If your child is taking any medication that may affect his/ her ability to act as a volunteer in any capacity, or which needs to be taken while volunteering, you need to provide a signed document from your child's treating practitioner detailing that medication and your child's medical conditions.

If you have described a medical condition or disability above, please give details of your child's treating doctor.

By signing this form, you consent to NSW Friendship Circle contacting your child's treating doctor to discuss any medical condition you have described in order to assess your child's suitability to undertake Friendship Circle activities.

Please note: you must tell us about any new relevant disability, medical condition, illness or injury that your child develops, or any relevant new treatment or medication your child begins using, after signing this form.

Please tell us anything else we should know which may affect our decision to allow your child to participate in Friendship Circle activities, e.g. psychological characteristics, criminal history.

First Aid and Nurofen/ Panadol Permission

Please indicate if you give permission for us to administer First Aid and Nurofen/ Panadol if required by your child at any of our programs.

Please also provide the full name/s and contact number/s of anyone you would like us to attempt to notify prior to administering Nurofen/ Panadol.

4. Do you understand that your child participates in Friendship Circle activities at his/ her own risk, and needs to accept responsibility for any injuries?

By signing this form as parent or guardian on behalf of your child, you:

1. acknowledge that there is a risk of injury arising from your child's participation in Friendship Circle activities;
2. agree that your child will not participate if s/he has a relevant medical condition or disability that prevents him/ her participating or would be worsened by participation;
3. agree to your child participating in Friendship Circle activities at your own risk;
4. accept responsibility for all medical and other expenses incurred and any loss suffered as a result of any injury your child receives or causes by their participation in the activities. Friendship Circle will, to the extent permitted by law, not be liable for damages or other compensation for any injuries caused or suffered by your child or any other person as a result of participating in the activities. This means that you agree that Friendship Circle is not responsible for any injuries, worsening of any condition or disability of any person, or the costs involved in any person's treatment, as a result of your child's participation in the activities, whether you have disclosed a condition or treatment for that condition or disability in this form or not. Friendship Circle is also not responsible for failing to act on any medical information you provide in this form. We encourage you to take out private health insurance to cover any expenses resulting from risk of injury; and
5. to Friendship Circle securing necessary medical/ hospital treatment for your child if you cannot be reached in an emergency.

5. Your child's commitment as a volunteer

By signing this form you understand that your child is undertaking to:

1. fully abide and be bound by NSW Friendship Circle's Teen Volunteer Code of Conduct;
2. give at least 14 days' notice to NSW Friendship Circle if your child chooses to stop being a volunteer;
3. carefully read, understand and be bound by all additional rules and policies in the NSW Friendship Circle Handbooks and any additional rules that are relevant to specific events; and
4. if required by NSW Friendship Circle, attend at least two ongoing NSW Friendship Circle approved education workshops each year.

6. Your agreement to conditions of participation

By signing this form you agree that:

1. you and your child understand the activities of NSW Friendship Circle;
2. you give permission for your child to volunteer with NSW Friendship Circle;
3. agree to your child travelling in a private car driven by a driver approved by NSW Friendship Circle if required for participation in the activities including both travel as part of the activity and travel to and from the activity;
4. your child will participate in the activities because s/he chooses to and not because s/he is required to by NSW Friendship Circle;
5. you and your child understand that if NSW Friendship Circle is not satisfied with your child's behaviour in any way at any time, then NSW Friendship Circle may stop your child from participating in any activity immediately;
6. NSW Friendship Circle may exercise all reasonable control over your child that is necessary in the circumstances whilst s/he is participating in an activity;
7. NSW Friendship Circle may, but has no obligation to: 

• stop your child from participating in any activity;
• select your child for a different level of participation; and/ or
• limit your child's activities, based on information you provide in this form or at a later time;

8. in some circumstances, NSW Friendship Circle may not be permitted to disclose personal (including sensitive) information about your child to you if your child does not consent to disclosure; and
9. NSW Friendship Circle and its employees, volunteers and agents may use or disclose personal (including sensitive) information provided in this form or collected as part of your child's participation in the activities to:

• organise activities;
• determine your child's suitability to take part in activities or be selected for activities as a result of any condition or disability descibed in Part 3 of this form;
• contact and assist a doctor who is called upon to treat him/ her; or
• if required by law.

7. Photography Policy

Please read our Photography Policy: click here

By submitting this form you declare that you have read and accept this policy.

8. Declaration

By submitting this form you declare that:

1. you and your child have read and understood everything on this form; and
2. the details you have provided in this form are correct; and
3. your child has reviewed and agrees to abide by the Friendship Circle Code of Conduct (click here); and
4. That you have read and accept our Photography Policy (click here).