Kidz@ECF Consent Form.

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Please complete one form for each child.

Child's name *

School year *

Address *

1st Contact name, telephone number and relationship to child. *

2nd Contact name, telephone number and relationship to child. *

Please list any medical/behavioural conditions that your child has, in order for us to care for your child. *

Are you happy for your child to walk home alone? *

Yes

I understand and agree to photographs and/or video footage being taken of my child and used on the Efford Christian Fellowship website and/or social media accounts (Twitter, Facebook and Instagram.)

Yes

I understand that:

- Kidz@ECF will always act in the best interest of the above child and will only be responsible for the above child during the hours of 6.30pm to 7.30pm.

- Kidz@ECF will only be responsible for the above child whilst that child is within the club buildings.

- If the above child leaves the club building during he club hours, Kidz@ECF will not be responsible for the child, but will endeavour to contact me.

- My child's details will be stored by the leaders of Kidz@ECF for 1 year and then destroyed.

- the information that you provide will only be used in relation to Efford Christian Fellowship and the activities that it organises, and it will not be passed on to a third party.

If you agree to the above, please print your name: *

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