Consent Form for Participation in the Self-Future Story Project

Project Description:

The Self-Future Story Project is designed to empower young people aged 11 to 17 through art, coaching, and creative expression. The project aims to support personal development, build self-esteem, and provide tools for resilience, particularly for those who have experienced adverse childhood experiences.

Project Components: The project may include, but is not limited to:

• Art workshops and activities
• Coaching sessions with a trained NLP and Trauma-Informed Coach
• Collaborative projects with professional artists
• Public performances or exhibitions

Consent for Participation: I understand that my child will be actively participating in the Self-Future Story Project. I have been provided with information regarding the project's objectives, activities, and potential benefits.

I acknowledge that my child may be involved in art-related activities and coaching sessions that may touch upon personal experiences, emotions, and self-expression.

Permission for Artistic Expressions: I understand that the project may involve artistic expressions, including but not limited to visual art, drama, and storytelling. I grant permission for my child/ward to engage in these activities.

Confidentiality: I acknowledge that the Project Lead and NLP and Trauma-Informed Coach will prioritise confidentiality. However, I understand that there are legal and ethical obligations to report concerns related to the safety and well-being of the participant.

Emergency Medical Treatment: In the event of a medical emergency, I authorise Roar Through Art CIC and its representatives to seek and consent to necessary medical treatment for my child.

*Media Release: I grant permission for Roar Through Art CIC to use photographs, videos, or other media representations of my child taken during the project for promotional and educational purposes.

*The participant’s face will not be shown; only the back of their head will be shown and blurred out to protect the identity of the child. No conversations will be made with the child  via any media channel.

Withdrawal: I understand that my child has the right to withdraw from the project at any time. I will communicate any concerns or decisions related to withdrawal with the Project Lead.

Contact Information: I understand that I can contact Roar Through Art CIC for any additional information or clarification regarding the project.

Consent Validity: This consent is valid from [Start Date] to [End Date] of the Self-Future Story Project.