CHILDREN'S MINISTRY CONSENT FORM

By completing this form you are giving consent for your child to take part in Children's Ministry at Hamilton Road Baptist Church.

Which ministry(ies) is the child part of? *

Tick all that apply

Livewires (Thurs 6-7pm fortnightly term time)

Lighthouse (Sun during 10.30am church - term time)

Kids Academy (Sun 5.45-7pm series term time)

Child's Details

Name of child *

(NB. Please fill in a separate form for each child)

Date of Birth *

(of child)

Gender of Child

Address

School your child attends *

Class at school *

Doctor *

Doctor Surgery *

Please list any relevant food allergies or dietary requirements and any medical conditions of the child of which we should be aware. *

Any other relevant information you would like to add? *

Person with Parental Responsibility

First & Last Name *

(Name of person bringing child to the ministry)

Mobile *

Ocassionally, we'll send WhatsApp broadcast updates, just save th leader's number to receive these.

(If you have one. We will send updates via this method.)

Your relationship to the child *

(Parent, guardian, grandparent, childminder, etc.)

Permissions

I agree to first aid being given, if necessary *

Yes

During the course of our regular activities we may take photographs to be used both on the church website and in future event publicity. In order to publish an image of the child we need permission. All such photographs will be handled in accordance with our Safeguarding Policy and we will NOT publish any names or personal information. NB. If you do not give permission for the child’s photo to be published, please make sure that the child is aware of this.

I agree to individual photos of the child being used. *

Yes

I agree to photos of the child in a group setting being used *

Yes

Help/ Data Protection

Would you be willing to help in a one-off/emergency capacity? *

In order to meet ratios, at times we may need an additional adult to help by being present.

Yes

I have read and understood the HRBC Data Privacy Statement found at: http://www.hamiltonroadbaptist.com/wp-content/uploads/2019/12/Data-Privacy-Notice_HRBC-Dec-2019.pdf *

Yes

Electronic Signature *

Date form completed *