Overflow Church Consent form for School year 7 to School year 13

In order for your young person to attend Overflow Church Youth Activities, these include Sundays, and joining other youth meetings such as Ignite in Middlewich, please fill in the form below.

Please note this form can only be filled out by parent/guardian

Child name

Gender

Age of child

Date of Birth of child

School year

Address:


Town:
County:
Postcode:
Country:

Medical Informaiton

NHS Number

Doctor

GP Surgery Telephone

GP Surgery Address

Are all vaccinations up to date

Parent/Guardian details plus emergency contacts

Your Name:

Relationship to child

Mobile phone number in case we need to contact you

Second emergency contact name and number

Please list any information that would be helpful for children workers to be aware of including medical and additional needs and dietary requirements.

Behavior and Responsibility
All leaders will treat children with care and respect, and they expect the same in return. Leaders expect children to behave acceptably (depending on age), and as they get older to take increasing responsibility for their actions and possessions.

Privacy
Overflow Church will store the details on this form, subject to the legal requirements of the Data Protection Act (1998) and in accordance with our GDPR Policy (available from our website or ask for a copy from one of our leaders), for the purposes of promoting and enabling the activities for which the church exists, safeguarding, and facilitating emergency care. Overflow Church will maintain the confidentiality of this information and will never communicate it to people or organisations outside the scope of church activities (except in cases of medical emergency or when required by appropriate legal authorities).

Commmunication
We would like to communicate key date and information to you. This is done via texts, emails and occassionally phone calls. For some groups we have a a whatsApp group to make this communication easier. If you are happy to be added to the relevant WhatsApp group consisting of the other parents/carers and leaders of the group your child attends, please indicate below. Once added you may leave the WhatsApp group at any time.

I give permission to communication via texts, email and phone calls

I give permission to add me to any whatsApp groups revelvant to my child

Communication with young people
If you are happy for youth leaders to communicate directly with your young person (e.g. about group meeting times) via phone, SMS, email or social media, subject to Overflow Church Safeguarding Policy please tick the box below to give consent. These forms of communication will be monitored by our Youth Workers and leaders. All age guidelines are followed i.e. whatsApp is only for 13years and older.

Consent to communicate via home phone

Consent to communicate via mobile phone

Consent to communicate via social media this includes whatsApp

Consent to communicate via email

Consent questions:

I consent to my child joining in the normal activities of Overflow Church group(s) of which they are a part. (Additional permission may be required for certain activities. E.g. outings including adventurous activities.)

I consent to my child being transported by Overflow Church staff and volunteers when necessary to and from Overflow Church activities in accordance with our safeguarding policy.

I have read all the above statements and declare I am the parent/guardian of the child listed on this form. I declare all information listed is correct, and will contact you if any information changes.

Photographs and video
Photographs and video are sometimes taken during Overflow Church activities. Images are used:

to help children have good memories of church activities
in videos or slideshows for use in church events (e.g. Sunday services)
for publicity purposes, including on the church website and related social media

Overflow Church is committed to safe practice when dealing with images of children. No names or any other personal information, which could enable identification of a child, are used. The use of images is subject to the Overflow Church Safeguarding Policy and relevant Individual Group Policies, which provide safeguards against misuse of the images. Images are securely stored and password- protected, subject to the legal requirements of the Data Protection Act (1998) and in accordance to our GDPR policy.

Children photograph consent
I the parent/guardian give permission for photos/videos to be taken of my child inline with description listed above.

By typing your Name in the box, you are agreeing that all information is correct, and agreeing to all boxes you have ticked for consent.