Author: Steve Mitchell

Parental Consent Form

By filling in this form, you are consenting to North Swindon Baptist Church holding information about you and your child.
You can ask for your details to be removed at any time by emailing admin@nsbc.org.uk, but if you are unable to provide the information requested we may be unable to accept your child at the event.
We are collecting this information to fulfil our purposes as a church, to provide appropriate pastoral care and to comply with the law.
We do not share your information with third parties without your consent, unless the law requires us to do so.
You have the right to request access to your personal data that we hold. For more information about this and other individual rights regarding personal data please see our website at www.nsbc.org.uk/privacy

Parent Details

First name		Surname
Address & Postcode
Mobile Phone		Home Phone
Email Address
Signature		Date

Child Details

First name		Surname
Address & Postcode (if different from above)
Date of Birth		School
Doctors Surgery & Phone Number
Details of any allergies, dietary requirements, medications, additional needs, or other information we should be aware of:
If your child requires emergency medical treatment, do you give consent to us taking the necessary steps to ensure appropriate treatment is given?			Yes / No

Contact

We would like to send you information about our events and activities by post, telephone, email and text. If you agree to being contacted in this way please tick the relevant boxes. We will only send relevant information and if you wish to stop receiving communications from us at any time, please email admin@nsbc.or.uk.

Email	☐	Text	☐	Phone	☐	Post	☐

We may take photos and short videos during activities for security and publicity purposes (including our web site, social media, newspapers, etc).

Photos of me/my children can be	Taken and	used for publicity	☐

NSBC September 2018

Consent
I give consent to my child taking part in any group events.
I acknowledge that the responsibility to get the child home does not belong to the leaders.
I give permission for small groups to go out in the local area under full adult supervision.
I agree to any emergency treatment to be given as considered necessary.
I agree to group transportation of my child to special outings and activities where appropriate.
I agree to photographs and short videos of activities including my child to be taken for use within the church community and for possible publication including newspapers, social networks and website.
NB. The medical profession takes the view that a parent’s consent to medical treatment cannot be delegated. Medical consent forms have no legal status and a doctor has the right to insist parental consent before treating a child. We have found, however, that medical staff find this type of general consent helpful.
We recognise that circumstances/information changes and if it does it is my responsibility to make the organisers aware in writing so that changes can be made to the existing form or a new form can be completed. This form will be reviewed every 12 months.
Signed ………………………………………… Date ………….………………..
Issued January 2017
Please tick if you would prefer not to be contacted with more information on groups and future activities run by North Swindon Baptist Church.

NSBC September 2018