Kids Consent Form

Child's Details

Please fill in child's details. Complete one form per child.

First & Last Name *

Date of Birth *

Medical Condition or allergies *

School

Parent/Guardian Details

Please fill in the details for the parent / guardian

Parent/Guardian Name *

Parent/Guardian Relationship *

Parent/Guardian Email *

Parent/Guardian Mobile *

Address *

Emergency Contact Name

Emergency Contact Phone

Consent

Do you give consent for your child to be in photographs & Videos for the purpose of Blackpool Church publicity? *

I give consent

Do you give consent to be communicated directly by DBS certified Blackpool Church team via official Blackpool Church platforms (no personal accounts will be used) *

I give consent

Signature

Please give consent for your child in the below contexts.

I understand that I am giving consent for my child to attend Blackpool Church Kids events, for first aid to be administered to my child when necessary and for parents/guardians/emergency contacts to be contacted about Kids events. *

I understand

Blackpool Church will use your information for the purpose of Blackpool Church youth events and to keep on record in the event of an emergency regarding your child. If you would like to know more about how we handle your details, please see our Privacy Policy.

Sign here to confirm that all the details supplied are correct *