Request edit access
Youth Group Contact Form
Youth Group is for Years 7-11 (11-16 years old) which runs on Fridays during term time (7:45pm – 9:00pm) at West Side Church (Melody Road, Wandsworth, LONDON, SW18 2QQ). All children from any background or faith are welcome.

To find out more contact Chris Wilson on 07910 922 771 or We look forward to meeting you.

Please fill in all the questions below. ONE FORM PER CHILD. They are designed to help us to support and keep your child safe. All information given will be kept strictly confidential.

Data privacy is important to us, and we want to communicate with the youth and children who attend our activities in a way which has appropriate consent, and which is in line with UK law on data protection.

As a result of a change in UK law, we now need your consent (if you are aged 13 or over) or a parent’s / carer’s consent (if you are aged 12 or under) to how we contact you. Please fill in the contact details you want us to use to communicate with you:

Email address *
Parent / Carer Full Name *
Your answer
Relationship to Child *
Your answer
Child / Youth Full Name (child must be in school years 7-11) *
Your answer
Child's date of birth *
Address *
Your answer
Post Code *
Your answer
Phone Number *
Your answer
Second Emergency Contact Number *
Your answer
Relationship to Child *
Your answer
I consent to the church contacting me by *
By signing this form you are confirming that you are consenting to West Side Church holding and processing your / your child’s personal data for the following purposes (please tick the boxes where you grant consent):
I consent to you keeping me / my child informed about news, events, activities and services at West Side Church (note you can unsubscribe at any time); *
I consent to you including my / my child’s details in the ‘Youth & Children’s Database’ which is used to administer the activities run by the Church. *
Allergies *
Include Allergies, details of medication and any medical details we need to know, e.g. Epilepsy, ADHD, Asthma etc.
Your answer
Media *
At Youth Group we may take photographs/videos which may include your child. They may be used to publicize further events or in church publications. All pictures used will be taken in a sensitive way and are in compliance with our Safe Guarding Policy. Do you give permission for your child to appear in these photographs and for these to be used by the church?
I agree to the following *
You can grant consent to all the purposes; one of the purposes or none of the purposes. Where you do not grant consent we will not be able to use your personal data; (so for example we may not be able to let you know about forthcoming services and events); except in certain limited situations, such as where required to do so by law or to protect members of the public from serious harm. You can find out more about how we use your data from our “Data Privacy Notice” which is available from our website or from a Trustee.You can withdraw or change your consent at any time by contacting one of the Trustees at West Side Church, Melody Road, Wandsworth, SW18 2QQ or Please note that all processing of your personal data will cease once you have withdrawn consent, other than where this is required by law, but this will not affect any personal data that has already been processed prior to this point.I give permission for the child named above to take part in the normal activities of this group. I understand that while involved he/she will be under the supervision and care of the group leader, and/or other adults approved by the church leadership. All adult leaders have successfully passed the Disclosure and Barring Service (DBS) check and have been trained in West Side Church's safeguarding policy. While the staff in charge of the group will take all reasonable care of the children, they cannot necessarily be held responsible for any loss, damage or injury suffered by him/her during, or as a result of, the activity. In an emergency and/or if I am not contactable, I am willing for him/ her to receive necessary hospital or dental treatment including any anesthetics.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service