LINK parental consent form

LINK Consent Form 2020-2021
St Botolph's Church, Barton Seagrave

St Botolph’s Church takes its safeguarding responsibilities seriously. All members of the Children’s Ministry team have had an enhanced DBS check. A copy of our safeguarding policy is on our website and a printed version is available on request

Please complete this form to authorise your child's attendance at St Botolph's Church, "LINK Group"

If you have completed a paper form, please do not complete this.

Data Protection:

Due to the Governments new data protection laws we need your express permission to keep your details… (without this we will be unable to contact you and will need to delete any details we currently hold). This includes young people 13 and over.

 


To be completed by Link member : I give permission for St Botolph’s church to hold my data so that I might be contacted in the future about relevant events and information about Link.:*
YES
NO
Member's name:*
Age:*
Date of Birth:*
School Attended:*
School Year:*
Member's email address:*
Member's mobile number:*
I am happy to be contacted by: (Please tick as many as you choose):*
Email
Phone
SMS/Text
Post
WhatsApp
Instagram
Zoom
Signature of LINK member.:*
Please tick this box to sign your consent.
(To be completed by parent/guardian) Address:*
Parent's email address:*
Home phone number:*
Emergency contact number:*
I am willing for my child to attend outings or day trips organised by Link and understand that they will be under the supervision of the Link leadership and other adults as appropriate :*
Yes
No
I give permission for my child to be photographed or filmed during an “Link” event and also permit these pictures to be used by St. Botolph’s Church:*
Yes
No
I consent to my child being given any necessary first aid or medical treatment whilst attending “Link”.:*
Yes
No
Does your child suffer from any condition requiring regular medication/treatment:*
Yes
No
Please give details if appropriate:
Does your child suffer from any allergies?:*
Yes
No
Please give details if appropriate:
Does your child have any special dietary requirements?:*
Yes
No
Please give details if appropriate:
I give permission for St Botolph’s church to hold my data so that I might be contacted in the future about relevant events and information about Link:*
Yes
No
I am happy to be contacted by: (please tick) [To be completed by parent/guardian]:*
Email
Phone
SMS/Text
Post
Name of parent/guardian:*
Signature or parent/guardian:*
Please tick this box to sign the form
Please enter the verification number on the right:*
six five two three two
* Required Fields