Brookdale Friday Club Form

Brookdale Church Friday Club

Consent Form - 2024/2025
Dear Parent / Guardian,

We are very excited to be starting again on Friday 6th September 2024.

Friday Club is for all children in school years 6 to 8, and runs on Fridays during term time between 6:45pm and 8:15pm.

The club is run by a team of volunteers, who all have had enhanced DBS checks.

Please complete this form. The form is required so the leaders have the information they may need in the event of an emergency.

Please can we ask you to ensure that your child gets to club safely, and then gets home safely after club. The leaders cannot be held responsible for the safety of any young people outside club times.

You can contact club by email: brookdalefridayclub@gmail.com
Data Protection Statement
Your privacy is important to us at Brookdale Church. Under data protection legislation, we need to let you know how we care for your information.
We are collecting this information to enable the church to run Friday Club safely and ensure we can contact you in case of an emergency. Data Protection legislation allows us to process this information as we regard it as being in the church’s legitimate interest. If you are unable to supply the required information requested then we will be unable to accept your child at our Club.

The information you supply will be held in paper form, securely locked on the premises as well as online. Only the relevant leaders will have access to this information. We will not share it with third parties unless the law requires us to. You have the right to request access to your personal data that we hold.

The forms will be destroyed during September 2025 at the beginning of the new academic year when new forms will be required. This has the following exceptions:

1) If you have ticked the box asking us to keep you informed about future activities we think your child might be interested in attending. If this is the case we will retain your contact details for the sole purpose of notifying you of such events.

2) The consent section for photographs and video will be retained for as long as we keep the images/video.

If you wish to stop receiving communications from us at any time, or change the consent you have given, please contact our Data protection Officer: francesdown@live.co.uk

Contact Information

If we need to contact you in relation to the club
Name of Parent / Guardian*

First NameLast Name
Address*

Street Address

Street Address Line 2

Town / CityCounty

Postcode
Phone Number*

Code (first 5 digits)Number
Email*
example@example.com

Additional Contact Details

In case we cannot contact you, please provide details of someone else we can contact. this is optional.
Name of Additional Contact

First NameLast Name
Relationship to child
Phone Number

CodeNumber
Child Details

Please fill in a separate form for multiple siblings
Name*

First NameLast Name
Date of Birth*

DayMonthYear
Date (Note: Club is for children in School Years 6 to 8)

Details of any medical conditions, alergies etc.
Regular Medication
Anything else we should be aware of, including dietry needs.

Parental Consent
I give my consent as parent / legal guardian to the leaders of Brookdale Church Friday Club for my child named on this form to attend and participate in the normal activities of Brookdale Church Friday Club. In addition I give the leaders permission to act on my behalf, using the information provided on this form, should the need arise.

If for any reason my child needs to leave club early I will provide written consent for this.
Name of Parent / legal Guardian*

First NameLast Name
Relationship to Child*
Must be either Parent, or someone who is the Legal Guardian.
Signature*

Clear
Date*

DayMonthYear
Date

Photographic / Video Consent

This is optional
During the club photographic images and video may be taken of activities and used to promote the club and the church. We will never link a child’s name to their image. This consent section will be retained for as long as we keep the images/video. If you wish us to delete the information we have, please contact the church Data Protection Officer. Please tick the following boxes if you give consent to your child’s image being used in this way.

Online use will be limited to the Brookdale Church website:

www.brookdalechurch.org.uk.

and our FaceBook pages:

www.facebook.com/BrookdaleChurch

www.facebook.com/BrookdaleFridayClub

Offline use will be physical media, printed for use on Notice Boards, or shown on a video projector during church meetings to promote the club.
Consent given for

Online UseOffline Use
Parent / Legal Guardian

First NameLast Name
Signature

Clear
Date

DayMonthYear
Date
Should be Empty:

Brookdale Church Friday Club

Data Protection Statement

Contact Information

Additional Contact Details

Child Details

Medical Information

Parental Consent

Photographic / Video Consent