Kidzone Sunday consent form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This consent form is for our kids of Kidzone Sunday at Lisburn Cathedral. This is for in person and online materials and will run from current time to September 2022. if you have changes or queries throughout the year please email kidzone@lisburncathedral.org

Child/Children's names *

DOB of Child/Children *

Address including postcode *

I consent for my child to take part in services within the Cathedral that are in person or streamed live on YouTube *

Yes

In order to make Kidzone work for everyone we need you as a parent to help out as well. This should be at most once a month, you can take the opportunity to see what we do and participate as little or as much as you want. Can you confirm that you are willing to do this. *

Yes

The Parish has taken reasonable precautions to limit the risk of Covid-19 including providing hand sanitiser, social distancing, restricting access to facilities and adapting programmes. Upon attending Kidzone, you and your child/children agree to abide by all government guidance aimed at preventing the transmission of the virus including following the steps taken by the Parish to minimise risk. We require you to follow all directions of leaders. You must not attend if you believe that you, or anyone in your household, may have symptoms of Covid-19. Do you agree? *

Yes

Emergency contact number *

Are you happy for this number to be used for the Kidzone Whatsapp group so that we can keep you informed? *

Yes

Medical/Allergy Information (leave blank if none)

I agree to this information being held securely, solely for use by Lisburn Cathedral *

Yes

Name of Parent/Guardian. This will be used as a signature. *

Date *

YYYY

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Lisburn Cathedral. Report Abuse

Forms