CC Kids/Youth Guest Consent Form • C3 Cheltenham

CC MiniKids / CC Kids / Youth Guest Consent Form

CC Mini Kids (Pre-school), CC Kids (Primary School) And Pulse (Secondary School) children's ministry is provision provided on behalf of C3 Church Cheltenham. The provision aims to provide a safe and welcoming environment for children to meet, socialise and gain access to information, advice and guidance about the Christian faith.

Name of Child: *

Gender: *

Male

Female

Child's date of birth: *

Ethnicity:

Your Name: *

Mobile Number: *

Tip: (in case we have to contact you during the service)

Does your child have any conditions/requirements we need to be aware of? *

Yes

Tip: Include: allergies, medical, disability, injuries, religious beliefs etc.

If yes, please give details:

Tip: (Including any medications they are currently taking)

Declaration to be signed

Data Protection: Any data provided in this form will be stored and processed in accordance to the Data Protection Act 1998 and used for various administrative and health and safety purposes.

PHOTO CONSENT

I agree to photographs and/or video images being taken of the child named above for use in project work. I also grant permission for any licence that may be required to permit the photographs being used in printed publications and marketing and advertising material including internet sites. I understand that I do not own the copyright of the images or contributions.

Photo Consent *

Yes

DECLARATION

I have completed the form to the best of my knowledge and I confirm that I am willing to allow the child named above to attend the above mentioned children’s provision.

Signed: *

Tip: Printed name accepted as signature.

Date: *