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The following section contains information for which we need your consent. As required by data protection we have a duty to inform you that you can withdraw your consent for any of the permissions detailed below at any time. Should you wish to withdraw please discuss with a member of staff in the first instance.

If emergency treatment is required, either whilst your child is on the premises of on an outing, (for the duration of your child’s time with us) and the parents or legal guardians cannot be reached immediately, your signature in the space provided below empowers the setting management to exercise their own judgement in calling the doctor/dentist indicated above or to transport the child to a hospital casualty department by ambulance. Please read and fill in the declaration below.

I give consent for the following

I confirm that the information provided on this form is correct and to the best of my knowledge

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