Legacy Consent & Registration Form

We are delighted to have your child/young person joining our children & youth activities at Christ Church. We take Safeguarding of your child and protection of your personal data seriously; therefore, we require you to fill in this form. The information that you give us will be stored on record by Christ Church Office and made available to the Legacy team and leaders. More information about our Safeguarding and data protection policy (GDPR) can be found on our website.

Event:

Select the event(s) that your child wishes to attend:

Legacy Holiday Club - Wednesday 27th October 2021 - £7:
Legacy Holiday Club - Thursday 28th October 2021 - £7:
 

About Your Child:

Child/young person's full name:
Date of Birth:
 
Does your child/young person have any food allergies? (please specify)
Does your child have any medical conditions? (please specify)
Is your child on any medication? (please specify)
Does your child have any special needs? (please specify)
Is there anything else you would like us to know about your child?
 


Family Contact Details:

Full name of parent/guardian:
Relationship to child:
 
Mobile number:
Email address:
Home number:
 
Home address:
 
 
Town:
County:
Postcode:
 

Emergency Contact:

Name of carer/alternative adult in case of emergencies:
Relationship to you/your child:
Phone number:
 

Communication Methods:

I give permission for Legacy leaders to contact me by:

Text messages:
Emails:
Social media (e.g. Facebook, Instagram):
 

What's On Emails:


We have a What's On email that normally goes out once a month letting people know about events we're running including Family events, Sports events and other church activities that might be of interest to them.  You can unsubscribe at any time.
 
I would like to receive your 'What's On' emails:
   

Multimedia:

The use of photos and videos are highly effective in communicating and promoting the value of our children and youth groups. They are also a great way for members to see themselves engaging as a part of the group and to reminisce on fond moments. We need your permission before we can take photographs / videos that include your child.  These photographs and videos will be securely stored and used for wall displays, news updates and publicity (including on our website/social media pages).

May we take, store and use photographs that include your child?
May we record, store and use videos that include your child?
 

Signed:

 
Signature (please type your full name):