KIDZONE CONSENT

Dear Parent/Guardian,

We at Hope Church are commited to safeguarding the wellbeing of all children who attend Kidzone. To help us ensure the best care and experience for your child(ren), we kindly ask for some important information about them.

Full Name of Child (1)

Date of Birth

Day

Month

Year

Full Name of Child (2)

Date of Birth

Day

Month

Year

Full Name of Child (3)

Date of Birth

Day

Month

Year

Multi-line address

Country/Region

Address

City

Zip / Postal code

Parent/Guardian's Mobile Phone

Parent/Guardian's Email

We store and your personal data according to our Data Protection Policy. Please indicate if you give permission for us to store your personal data for the purpose of Kidzone-related correspondence

I give permission

I do not give permission

During our services, we may take photographs for general church purposes. Please indicate if you give permission for your child's photos to be taken and used

I give permission

I do not give permission

Please give details of any known medical conditions. E.g. allergies, asthma, diabetes, epilepsy, etc

Please give details of any medication your child is taking.

Please give details of any special needs, requirements or directions that would be helpful for the Kidzone coordinators to know.

I confirm that the above details are correct to the best of my knowledge.

FULL NAME OF PERSON FILLING THIS FORM

RELATIONSHIP TO CHILD(REN) MENTIONED ON THIS FORM

IMPORTANT:

PLEASE READ AND ACCEPT THE STATEMENTS BELOW!

I give permission for my child to attend Hope Church Kidzone Sunday School and participate in all its activities.

In the event of illness or accident, having parental responsibility for the above named child(ren), I give permission for first aid to be administered where necessary by a trained First Aider, if available or for medical treatment to be administered by a suitably qualified medical practitioner.

If I cannot be contacted and my child should require emergency hospital treatment, I authorise an adult teacher to sign on my behalf - any form of writeen consent required. However, I understand that every effort will be made to contact me as soon as possible.

Signature

Signature field is empty.

Please sign electronically in the box or upload a photo of your signature.

Date