General Consent Form 2019-2020
You only need to fill out one of these forms (per child) each year, no matter how many of our groups your child attends. By entering these details you are confirming you are happy for your child to attend our regular groups. For extra trips a separate consent form may need to be completed. All data will be stored in accordance with our privacy policy which is available on our church website (http://www.slp.church/wp-content/uploads/2018/05/Privacy-Notice_StLeonardsStPeters_May-2018.pdf)
Childs first name *
Your answer
Childs Surname *
Your answer
Parents first name *
Your answer
Parents surname *
Your answer
Child's Date of Birth *
MM
/
DD
/
YYYY
Address *
Your answer
Postcode *
Your answer
Parents email address *
Your answer
Parents Mobile number *
These numbers will be used to contact in you in the event of an accident or emergency involving your child. We will use these numbers in the order that you have given them to us.
Your answer
Parents home telephone number *
These numbers will be used to contact in you in the event of an accident or emergency involving your child. We will use these numbers in the order that you have given them to us.
Your answer
Does your child suffer from any allergies, phobias, medical conditions or disabilities? *
Your answer
Please list any medication that your child is currently using *
While your child is attending any of our activities, please make sure an adequate supply of any medication that may be needed is brought to the event. Otherwise please type none.
Your answer
Medical consent
The medical profession takes the view that a parent's consent to medical treatment cannot be delegated. Medical consent forms have no legal status and a doctor has the right to insist on parental consent before treating a child. We have found, however, that medical staff find this type of general consent helpful.
Medical consent *
Do you give consent for us to contact your child via social media *
Childs phone number (by providing this, you are giving consent for us to contact your child via text or phone call, if you do not consent to this please leave this blank)
Your answer
Video and photo consent *
Which groups do you give consent for your child to attend? *
Required
Anything else you would like to add?
Your answer
I recognise that if circumstances or information changes it is my responsibility as a parent/guardian to inform the organisers in writing so that changes can be made to the information that is held *
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