Children's Ministry Consent- Village Kids

This form should be completed by the parent or guardian of any child attending Village Kids at Village Church Belfast.

Your name *

Email address *

Parental Contact Number(s) *

Please enter at least one phone number which will be contactable during the duration of the programme.

Household members

Child's name *

Gender

Birthdate *

Please provide details of any medical conditions, allergies or disabilities we should be aware of: *

Please enter NONE if this does not apply.

Please provide details of any medication or medical treatment we should be aware of: *

Please enter NONE if this does not apply.

Please provide details of any dietary requirements we should be aware of: *

Please enter NONE if this does not apply.

Do you consent to the provision of snacks to the named child? *

Do you consent to photos being taken of the named child for the purpose of internal church communication, in accordance with the church's Child Protection Policy? *

This may include parent/volunteer communications and during general children's ministry updates at central gatherings and member's meetings.

Do you consent to the sharing of photos of the named child for the purpose of church publicity, e.g., website and/or online social platforms? *

I permit Village Church Belfast to retain the personal information contained on this form. *

I permit my child to participate fully in the Children's Ministry Programmes offered by Village Church Belfast. *

Release of Liability *

I understand that while involved in any church activity, my child will be under the care and supervision of the adult leaders approved by the church and that while they will take all reasonable care of the children attending, they cannot necessarily be held responsible for any loss, damage or injury suffered during or as a result of the activity.

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