CHILDMINDER Registration Form

HATFIELD KIDS FUNZONE

Birchwood Leisure Centre

Longmead

Hatfield

Hertfordshire

AL10 0AN

funzone@hatfield-herts.gov.uk

www.funzonehatfield.co.uk

01707270772
CHILDMINDER Registration Form
CHILDMINDER DETAILS:
FULL NAME*

First NameLast Name
ADDRESS*

Street Address

Street Address Line 2

City/TownCounty

Postcode
MOBILE NUMBER*
EMAIL*
example@example.com
OFSTED REG NUMBER*
Please enter Ofsted number or similar
DATE OF ISSUE*

DayMonthYear
Date
GENERAL DATA PROTECTION REGULATIONS

Childminder Privacy Notice
I agree that I have read and understand Hatfield Town Council's Privacy Notice. I agree by signing below that the Council may process my personal information for providing information and corresponding with me.

I agree that Hatfield Town Council can keep my contact information data for an undisclosed time or until I request its removal.

I have the right to request modification on the information that you keep on record.

I have the right to withdraw my consent and request that my details to be removed from your database.
I, First Name* Last Name* , have read and understand the terms and conditions of this discount.
Please provide social handles below.
Facebook:*
Please type NA if you do not have Facebook
Instagram:*
Please type NA if you do not have Instagram
TikTok:*
Please type NA if you do not have TikTok
X (Twitter)*
Please type NA if you do not have X
Photo of Card Holder*

Cancelof
Date*

DayMonthYear
Date
Signature*

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GENERAL DATA PROTECTION REGULATIONS