Coaching Consent Form for Parents and Carers

Please read this form carefully, complete all sections, and sign at the end. Coaching for anyone under 18 begins only after a signed consent form has been received.

Young Person's Details

Young Person's Full Name

Date of Birth

School or Setting

Year Group or Class

Any relevant medical or access needs

Parent/Carer Details

Parent/Carer Name

Relationship to Young Person

Contact Number

Address

Coaching Information

Coach / Organisation: Unmask Your Potential
Purpose of coaching: Personal development, reflective practice, confidence building, and leadership skills tailored for young people.
Typical session length and frequency: (e.g. 45 - 60 minutes weekly / fortnightly/monthly)
Location: (in-person address or online platform)
General themes likely to be covered: self-awareness; goal setting; communication; resilience; emotional regulation; creative reflection.

Insurance

Public liability insurance: Coach/organisation holds public liability insurance to cover incidents or injury occurring during in-person sessions.
Professional indemnity insurance: Coach/organisation holds professional indemnity insurance covering the professional advice and coaching services provided.
Coverage during activities: Insurance covers usual coaching activities, on-site sessions at agreed venues, and coach-supervised off-site activities included in the programme.
Policy details available on request: Insurer name, policy numbers, coverage limits, and policy expiry dates can be provided to parents/carers on request.
Limitations: Insurance does not replace statutory safeguarding responsibilities; parents/carers should inform the coach of any particular concerns that may affect safety during sessions.

Consent

Consent to participate

By checking this box I confirm that I understand the below statements:

I give permission for my child named above to take part in coaching sessions with the coach named above.
I understand the stated purpose, general themes, typical session length, frequency, and location of sessions.
I understand that coaching is not a substitute for mental health or medical services and I will seek professional help where appropriate.

Information Sharing and Communication

By checking this box I confirm that I understand the below statements:

I understand that I will be informed of session dates, times, and the general themes to be covered.
I consent to receiving routine administrative communications about sessions by phone, text, or email.
I understand that the coach may provide non-detailed progress summaries on request that respect the young person’s dignity and autonomy.

Confidentiality and Safeguarding

By checking this box I confirm that I understand the below statements:

Confidentiality will be respected. Information shared by the young person in coaching sessions will be treated as confidential and will not be shared with others without consent.
Limits to confidentiality. I understand that confidentiality does not apply where there is a safeguarding concern, a serious risk to the young person or others, or where disclosure is required by law. In such cases the coach will share information with appropriate adults or authorities.
Proportionate sharing. Only the minimum necessary information will be disclosed to protect the young person. Any disclosures and the reasons for them will be recorded.