March 2019 Youth Weekend
Please fill in these details to book in
Email address *
Your first name *
The name of the adult with parental responsibility for the children you want to book in
Your answer
Your surname *
Your answer
Mobile Number
Your answer
The cost is £12 per young person - how would you like to pay?
Young Person's First Name *
Your answer
Young Person's Surname *
Your answer
Young Person's D.O.B. *
School Year *
The Small Print
Under Data Protection legislation the church Charity Trustees of Cosham Baptist Church are the Data Controller and can be contacted by ringing 023 9232 4688 or emailing We are collecting this information to enable the church to run the Holiday safely and to ensure we can contact you (or other nominated adult) in case of an emergency. Data Protection legislation allows us to process this information as we regard it as being in the church’s legitimate interest. If you are unable to supply the information requested then we will be unable to accept your child on the Holiday.
The information you supply will be held in paper form in a folder which will be kept in a securely locked cupboard in a church office until the time of the holiday when it will be taken to camp and kept securely by the leaders. Only the Ministers and the Holiday leaders will have access to this information. The information will also be kept on a database on a Church computer.
The forms and information held on the database will be destroyed/deleted once the Holiday has finished unless you have ticked the box asking us to keep you informed about future activities we think your child might be interested in attending OR your child is a regular attendee of one of our weekly clubs. If you tick the box we will retain your details for the sole purpose of notifying you of such events. We will NOT pass on this information to anyone else. You have the right to ask to be removed from this circulation list at any time. If you are concerned about the way your information is being handled please contact us using the above details. If you are still unhappy you have the right to complain to the Information Commissioners Office.
Contact Permission
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Cosham Baptist Church.