Parent Consent Form
Please find below a consent and information form for your child. Would you mind completing it so that your child can participate in Halos at St George's and so that we can communicate with you about children's activities?

Your privacy is important to us. We want to ensure that you are happy with the way that we communicate with you and that it is in line with data protection laws. So, we will only communicate with you with regard to your child. If you are interested in hearing more about St George's, such as forthcoming services and events, please let us know by going to www.tinyurl.com/stgconsent.

You can find out more about how we use your personal data by reading our privacy notice which you can find here: www.stgholborn.org/privacy.

Email address *
Further details about you
First name of parent/carer *
Your answer
Last name of parent/carer *
Your answer
Phone number of parent/carer *
Your answer
Home address street line 1 *
Your answer
Home address street line 2
Your answer
Home address city *
Your answer
Home address state
Your answer
Home address postcode *
Your answer
Emergency contact #1 name *
Your answer
Emergency contact #1 phone number *
Your answer
Emergency contact #2 name *
Your answer
Emergency contact #2 phone number *
Your answer
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