All Saints Consent Form

Child's Name

Date of birth

Age

School year

Group you are apart of

STOMP

Angels

Launchpad

Parent/Carer's Name

Email

Phone

Address

Emergency Contact name & number

Doctors name and number

Please list any medical conditions including allergies

Photo, Video and Youtube consent

I am happy for my child's photo to apear in publicity including social media

I am happy for my child's photo to apear in publicity not including social media

Please do not use photos of my child in any publicity

I am happy for my child's videos to apear in publicity including social media

I am happy for my child's videos to apear in publicity not including social media

I am happy for my child's video to be published on the church YouTube Channel

Please do not use videos of my child in any publicity

By signing below, you are agreeing to the following;

I give permission for my child to attend group specified above

I give permission for the above information to be stored on computers for the purposes of creating registers and enabling group leaders and/or the church office to keep in touch with families who attend.

In the unlikely event of illness or accident, I give permission for medical treatment to be given by a first aider. In an emerancy and if I am not contactable, I am willing for my child to receive hospital treatment, including anaesthetic or blood transfusions. I understand that every effort will be made to contact me as soon as possible.

Signature

Clear

Date

In order to comply with GDPR regulations, all consent forms will be stored securely and information on them used only by All Saints staff in order to produce registers and contact parents about other activities they may be interested in. You can withdrew consent for us to contact you at any point. Forms will be kept for a maximum of 2 years