Bright Sparks Club Online: Parental Consent

Bright Sparks Club Online: Parental Consent

Facilitated by Valerie Sim and a team of SU Scotland Volunteers
Children's Details
How many children would you like to register *

1 2 3 4
First Child's Name *

First Name Last Name
Sex *

Male Female
Date of Birth *

Day Month Year
School Year (August 2020 - June 2021) *
Second child's name *

First Name Last Name
Sex *

Male Female
Date of Birth *

Day Month Year
School Year (August 2020 - June 2021) *
Third child's name *

First Name Last Name
Sex *

Male Female
Date of Birth *

Day Month Year
School Year (August 2020 - June 2021) *
Fourth child's name *

First Name Last Name
Sex *

Male Female
Date of Birth *

Day Month Year
School Year (August 2020 - June 2021) *
Do any of the children registered have known Additional Support Needs? *

Yes No
Please indicate Additional Support Needs *
Adults Present
Please list the adults in the family who will be present during the call.
Adult's name *

First Name Last Name
Adult's name

First Name Last Name
Adult's name

First Name Last Name
I understand that an adult must be present to supervise the call. *

Yes
Parent/Guardian Details
Parent/guardian name *

Mr/Mrs etc First Name Last Name
Parent/guardian's address details (Club resources will be delivered to this address) *

Address Line 1

Address Line 2

Address Line 3 Address Line 4

Postcode
Parent/guardian email address *
example@example.com
Parent/guardian contact numbers *

Main contact Alternate contact
I am happy to receive information about future events which may suit my child *

Yes No
SU Scotland will keep records of attendance and team members in accordance with their usual policies. However, I understand that NO audio/video recording will be made of the sessions *

Yes
Parental Consent

By submitting this form, I confirm that the details are correct and complete to the best of my knowledge.
SU Scotland and Strathaven Evangelical Church are jointly responsible for this data. SU Scotland promises to look after your data in accordance with the General Data Protection Regulation. For more information, visit suscotland.org.uk/privacy. For more information on the Strathaven Evangelical privacy policy, please contact the church.

Online Groups are being set up, partly in response to the COVID-19 pandemic. SU Scotland will delete all registration forms received, once the need for these online groups has ceased.

SU Scotland is registered as a charity (no. SC011222) and as a company limited by guarantee (no. SC54297)
Please verify that you are human *
Should be Empty:

Bright Sparks Club Online: Parental Consent

Children's Details

Adults Present

Parent/Guardian Details

Parental Consent