Kids Church & Feathers Consent Form

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For the collection of personal parent/guardian information regarding email and text consent, and/or the child check-in system and Sunday Kids Church & Feathers consent. This data is solely for the use of One Church Emsworth and will be stored in our secure database.

Child First Name *

Child Surname *

Child Gender *

Male

Female

Child Date Of Birth *

YYYY

Child School Year *

Any medical conditions? *

Please enter N/A if this does not apply

Any medication the child carries/needs to take whilst at Kids Church? (Eg asthma pumps/diabetic medication)

Any instructions to follow in an emergency?

Yes

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Any dietary/allergy requirements? *

Please enter N/A if this does not apply

I consent to my child receiving emergency medical treatment from a first aider (if required) *

Yes

Any social, emotional, behavioural or mental health needs? *

Yes

Please provide details and strategies for managing this (such as; ear defenders in worship, visual timetable, sensory breaks etc)

I consent to my child taking part in One Kids activities, including; sports, bouncy castles, water fights, cooking and use of the whole site including the dens area & park *

Yes

I consent to my child having their face painted (using either face paint, glitter or neon face paint) *

Yes

I consent to photos of my child being taken and used for marketing purposes (such as on our website or social channels)
*

Yes

Do you have another child to add? *

Yes

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