Clone of First Holy Communion Form 2021

Youth Group Registration Form

for Sundays at 4pm
Name of Child*

First NameLast Name
Child's Sex*

MaleFemale
Child's Date of Birth*

DayMonthYear
Child's School*
Year of School*
Name of Parent / Carer 1*

First NameLast Name
Parent / Carer's mobile number*
Please enter a valid phone number.
Name of Parent / Carer 2

First NameLast Name
Parent / Carer's mobile number*
Please enter a valid phone number.
Parent / Carer's email*

Confirmation Emailexample@example.com
Does your child have any allergies?*

YesNo
Please describe their nature and severity...*
Does your child have any Special Education Needs [SEN] or medical conditions?*

YesNo
Please give details below...*
GDPR Notice
- You have provided you and your child’s personal data for the purpose of Corpus Christi Catholic Church's Sunday Youth Group Programme. This data will only be processed in connection with this purpose.
- As a parish of the Archdiocese of Southwark our handling of data confirms to the policies of the Archdiocese and - most specifically - their privacy policy.
- Your data will be shared with those running the event/activity and you will be contacted by the organisers from time to time using the contact information that you have provided. For convenience we would like to communicate with you via e-mail.
Do you consent to your email address being used for this purpose?*

YesNo
Please note that if you do not give us consent to contact you in this manner, we will not contact you. If you do give consent, you can unsubscribe at any time by contacting the parish office: brixtonhill@rcaos.org.uk / 020 8150 1150.
Do you consent to images of your child being shared on our parish website and social media accounts?*

YesNo
I give permission for my child to travel home on their own [if not, I will ensure to be present on each occasion at 5:45pm to collect my child].*

YesNo
Signature*

Clear
Date*

DayMonthYear
Should be Empty:

Youth Group Registration Form

GDPR Notice