Parent Consent Form

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Parent Consent Form

Please find below a consent and information form for your child. Would you mind completing it so that your child can participate in Halos at St George's and so that we can communicate with you about children's activities?

Your privacy is important to us. We want to ensure that you are happy with the way that we communicate with you and that it is in line with data protection laws. So, we will only communicate with you with regard to your child. If you are interested in hearing more about St George's, such as forthcoming services and events, please let us know by going to www.tinyurl.com/stgconsent.

You can find out more about how we use your personal data by reading our privacy notice which you can find here: www.stgholborn.org/privacy.

Email *

Further details about you

First name of parent/carer *

Last name of parent/carer *

Phone number of parent/carer *

Home address street line 1 *

Home address street line 2

Home address city *

Home address state

Home address postcode *

Emergency contact #1 name *

Emergency contact #1 phone number *

Emergency contact #2 name *

Emergency contact #2 phone number *

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