Saturday Club 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 Saturday Club team and leaders. More information about our Safeguarding and data protection policy (GDPR) can be found on our website.

 

About Your Child:

Child’s full name:

Date of Birth:

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Allergies / Food Intolerances ? (please specify)
Medicals / 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: [Fill in if different to above]

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

 

Behaviour Policy:

We are committed to being a safe space for all and as part of this commitment we ask parents to read and accept our behavioural policy.  If you have any queries about our policy, then please get in touch.

Have you read and accepted our behaviour policy?

YES

 

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. These photographs and videos will be securely stored and may used for wall displays, news updates and publicity (including on our website/social media pages).  We need your permission before we can take photographs / videos that include your child. 

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

YES

NO

 

Signed:

 

Signature (please type your full name):