Arena Kids Church Consent Form 2024/2025

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Email *

Arena Campus *

Ilkeston

Mansfield

Belper

Full name of child/young person *

What do they prefer to be called?

Details of any regular medication, medical condition (eg asthma, epilepsy, diabetes, allergies, dietary needs, etc) or disability which may affect joining in kids church activities

I give permission for photos and videos to be taken and to be used internally and externally including: promotional items, social media, church website *

Yes

Date of birth *

YYYY

Address *

Name of parent or carer *

Address (if not same as above)

Tel number (mobile) *

Would you like a member of the Kids Church Team to get in touch with you to discuss any additional support your child(ren) need? *

Yes

Please inform a Kids Church team member should there be any changes in circumstance.

I consent to Arena Church storing my information for administrative purposes and for contact in emergency situations. *

Yes

Consent

I understand that while involved he/she will be under the control and care of the group leader and/or other adults approved by the place of Arena leadership and that, while the staff in charge of the group will take all reasonable care of my children, they cannot necessarily be held responsible for any loss, damage or injury suffered by my child during, or as a result of, the activity.

If your child should need medical help, the parent/carer will be contacted and advised of the situation as soon as possible for you to take to A&E or other medical services.

Please TYPE YOUR NAME as a digital signature to accept all of the above *

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