Custom Forms | Parental Consent Form

Hi there,
Please complete the following form to provide us with the details we need to make sure your children have a safe and super time with us on a Sunday.
After completing this you can create your account for our database so we can connect you to your child and you will be able to check them in and we can send you information about them. Speak to our team if you would like to find out more.

Child Details

Full Name *

First name *

Please enter a First name

Middle name(s)

Surname *

Please enter Surname

Date Of Birth *

Please enter a valid date

Address *

Address 1 *

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Address 2

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Address 3

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Town *

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County *

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Postcode *

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Country *

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Medical or specific health needs *

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Allergies *

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Dietary Requirements *

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GP Address *

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PEANUT ALLERGY? - TICK HERE

PEANUT ALLERGY - TICK HERE

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Special Educational Needs:

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Any other information that would be helpful for our Next Gen team? (e.g. my child can be shy, my child loves singing, my teen is into Minecraft/Football, their favourite thing is ... *

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I consent to First Aid being given as necessary to my child (parents will be informed whenever this has been necessary) *

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I consent to intimate care (e.g. nappy changes for babies, help in the toilet as needed for potty training) *

This may change and the conversation will be ongoing. We will inform parents if any of the above takes place.

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I consent to snacks and drinks being given to my child (taking allergies into account) *

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I consent to un-named photo/video of my child being recorded and used online (for church publicity use only) *

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Please NAME any other adults you authorise to collect your child. ONLY these people will be allowed to collect them at the end of a session. *

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Consent *

In completing this form I give permission for my child to take part in the normal activities of Horley Baptist Church. To the best of their understanding I will help my child understands that it is important for their safety and for the safety of the group that any session rules and instructions given by the safely recruited leaders are obeyed. I understand that Horley Baptist Church will store and use my information in line with their privacy and data protection policies which are available for me to read via their website. I will update Horley Baptist Church of any changes to the above information.

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Name of person completing this form: *

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Relationship to child: *

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Thank you so much for completing our form.
We will process the information and add your child to our database. Have a great day!

Parental Consent Form

Child Details

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Parental Consent Form

Child Details

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Just sending that for you!

Your selections

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