HYAG Consent Form

Complete the consent form.

All sections need to be completed and signed by a parent/guardian of the participant (young person) unless the participant is over the age of 16.

This form must be completed prior to the young person’s attendance at a Humber Youth Action Group (HYAG) virtual or face to face event and covers all activities undertaken as part of the HYAG membership. During the Humber Youth Action Group sessions you will have the opportunity to provide information on your thoughts, ideas, insights, feedback and experiences. This information will be used to help inform Humber Teaching NHS Foundation Trust’s understanding of the delivery of care, to enable us to make decisions about improvements to the care we deliver within our organisation. On some occasions our partner and community organisations may attend the Humber Youth Action Group. Consequently, the aforementioned information shared during Humber Youth Action Group sessions will also help to inform the services/care delivered within partnering and community organisations. There may be occasions where the services use direct quotes in relation to information you have shared, however when this happens it will not be attributable to you outside of the sessions. All engagement/coproduction/participation activities undertaken by members of the Humber Youth Action Group are optional.

The information supplied in the consent form will only be shared with people facilitating the HYAG meetings/workshops in order that they can keep your child safe. The information will not be shared with others.

The Humber Teaching NHS Foundation Trust works towards a policy of respect, equal opportunities and expected level of behaviour. Participants will be expected to follow this policy, and those choosing not to will be asked to leave.