KIDS’ CHURCH PERMISSIONS FORM

Before attending kids’ church for the first time, parents/guardians are required to complete the permission form attached below. This information is used to inform Imani, Ana and our kids’ team of any medical conditions or additional needs. This also gives us contact details of parents/guardians in case of emergency.

Parent/guardian Name

First Name

Last Name

Relationship to child

Parent/guardian 2 name

(if applicable)

First Name

Last Name

Relationship to child

(if applicable)

Mobile/telephone

Address

In State/Province, simply add London.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Child 1 name

First Name

Last Name

DOB

Please note that this form requires month, day and then year.

YYYY

Gender

Any medical/additional needs?

Any allergies/dietary requirements?

Child 2 name

(if applicable)

First Name

Last Name

Child 2 DOB

Please note that this form requires month, day and then year.

YYYY

Gender

Any medical/additional needs?

Any allergies/dietary requirements?

Child 3 name

(if applicable)

First Name

Last Name

Child 3 DOB

Please note that this form requires month, day and then year.

YYYY

Gender

Any medical/additional needs?

Any allergies/dietary requirements?

Any additional children?

Consent for photographs?

I give consent for photos or videos of my child/children to be taken and used for internal presentation purposes, e.g. Sunday services

I give consent for photos or videos of my child/children to be taken and used for internal (Sunday services) AND external presentation purposes, e.g. flyers, online

I DO NOT give consent for photos or videos of my child/children to be taken and used for internal or external presentation purposes

Consent for data storage?

I give consent for St Peter's Church Brockley, to store and use my child(rens) personal data to communicate about St Peter's and its activities

I DO NOT give consent for St Peter's Church Brockley, to store and use my child(rens) personal data to communicate about St Peter's and its activities

Consent to participate in activities in the appropriate age group?

I give consent for my child(ren) to participate in activities in the appropriate age group at St Peter's Church Brockley

I DO NOT give consent for my child(ren) to participate in activities in the appropriate age group at St Peter's Church Brockley

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Kids' Church Permissions Form

KIDS’ CHURCH PERMISSIONS FORM