Soul Survivor Saturday Consent Form

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Please complete one form per child for the Saturday Celebration taking place at Soul Survivor Watford on 11th March 2023.

Children will be transported by the St.Luke's Youth Team.

Child's Name *

Child's Date of Birth *

YYYY

Address of Child *

I give consent to my child taking part in this event, and any associated activities. I further agree to any emergency medical treatment to be given as considered necessary by the medical authorities if I cannot be contacted.
*

Yes

Required

Photo and Video Permissions *

I give permission for photos and videos to be taken of this young person

I agree that photographs and videos of this young person may be used internally (e.g. closed social media groups, Sunday Services)

I agree that photographs and videos of this young person may be used externally (e.g. promotional purposes, church website, public social media pages)

I do not give permission for any photos of my child to be taken

Required

Parent’s or guardian’s name and contact details, including contact number for during the event: *

If not available please contact: *

Details of any medical conditions, allergies, phobias, disabilities, additional needs or mental health issues which your child may have:

Details of any medication (please ensure an adequate supply is brought to the event):

Any other information you think the organisers should know:

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