50th Belfast Boys' Brigade

50th Belfast Boys' Brigade

Tullycarnet Presbyterian Church
Local BB Company
ANNUAL CONSENT FORM
Anything written on this form will be held in confidence. The leaders need to know these details in order to meet the specific needs of your child.
Name of child/young person*
Known as
Date Of Birth

DayMonthYear
Age:
Address*

Street Address

City

Postal / Zip Code
PARENT/CARER DETAILS
Name*
Relationship to Child*
This form should only be completed by a parent, legal guardian, or Legal carer.
Best contact number*
Email
example@example.com
EMERGENCY CONTACT PERSON If parent/carer above is unavailable, contact:
Name*
Relationship to Child*
Best contact number*
MEDICAL DETAILS OF CHILD/YOUNG PERSON
Name of GP*
GP Contact Number*
Details of any medical conditions, special needs, allergies, dietary requirements, medication being taken or anything else that would be helpful for leaders to know about:
Medical Details:
MEDICAL CLAUSE

I will inform the leaders of any important changes to my child's health, medication or needs and also of any changes to our address or to any of the contact details given above. In the event of illness or accident, having parental responsibility for the above named child, give permission for first aid to be administered where considered necessary by a trained first aider, if available, or medical treatment to be administered by a suitably qualified medical practitioner. If cannot be contacted and my child should require emergency hospital treatment, I authorise the leadership team to take my child to a suitable hospital. I understand that every effort will be made to contact me as soon as possible.
Medical Consent*

I give consent to the MEDICAL CLAUSE above
General Consent

Including Data and Photograph Consent
PHOTOGRAPH CLAUSE

During the time your child is with us, photographs/video/media recordings may be taken which may be used by the BB Company. Church and/or BBNI for publications or marketing purposes, including in print and online. For this, we need your permission.
Photograph Consent*

I give consent to the PHOTOGRAPH CLAUSE above
PARENTAL CONSENT

I give permission for my child to attend and to participate in the activities associated and organised by the BB Company named above.

I confirm that the information provided is correct to the best of my knowledge and undertake to notify the leader in charge of any changes.

I confirm this by providing my signature.
Signed*

Clear
Print name*
Relationship to BB Member*
This form should only be completed by a parent, legal guardian, or Legal carer.
Date*

DayMonthYear
GDPR STATEMENT

All personal data will be held in accordance with General Data Protection Regulations (GDPR Personal data is held securely within the BBNI online membership system while your child is an active member of the organisation. If their membership becomes inactive their details will be archived. Personal data is required to ensure the well-being of members and will not be disclosed to any third party without your prior written consent.
Should be Empty:

50th Belfast Boys' Brigade

ANNUAL CONSENT FORM

PARENT/CARER DETAILS

MEDICAL DETAILS OF CHILD/YOUNG PERSON

General Consent