Permission Form for the Provision of Care "*" indicates required fields This form should be completed after reading our Intimate Care Policy which can be found on the policies page of our website. https://gayhurstschool.co.uk/policies/Name of child* First Last Year group of child (for Sept 2024)*NurseryReceptionIf a child wets or soils themselves while they are at Nursery or Reception it is important that measures are taken to have them changed (and if necessary cleaned) as quickly as possible. Our Early Years staff are experienced and trained at carrying out this task if you wish them to do so or, if preferred, the school can contact you or your emergency contact who will be asked to attend without delay. Gayhurst School has an Intimate Care Policy which is available for you to view on the school website or please contact the school office for a copy. Please complete this permission form stating your preferenceI give consent for my child to be changed and cleaned by Early Years staff if they wet/soil themselves while in the care of Gayhurst School.*I give consentI DO NOT give consentI do not give consent for my child to be changed and cleaned if they wet/soil themselves. The school will contact me or my emergency contact and I will organise for my child to be cleaned and changed. I understand that in the event that I (or the emergency contact) cannot be contacted the staff will act appropriately and may need to come into some level of physical contact in order to aid the child.I do not give consentName of person completing this form* DrMissMrMrsMsProf.Rev. Prefix First Last Date* Δ
