CHILDREN'S LITURGY FORM

CHILDREN'S LITURGY
MISSION STATEMENT

To help our youngest children come to know and love Jesus by discovering God’s Word through stories, prayer and activities they can understand, while helping them grow in faith and know that they belong to our parish family.”
CHILD AND GUARDIAN JOINT CONSENT

(Please complete this form for each child attending the Children's Liturgy and let us know if there are any significant changes)
DETAILS OF CHILDREN'S LITURGY GROUP
Name of Group Children’s Liturgy Group
Time of Activity During 11:30am Sunday Mass
Duration 20 September 2026 to 20 June 2027
Organiser Brenda Webb
DETAILS OF CHILD ATTENDING CHILDREN'S LITURGY GROUP
Name of Child
Name by which the child is known
Date of Birth

DayMonthYear
Address of Child Attending Children's Liturgy
PARENT/GUARDIAN CONTACT DETAILS
Parent/Guardian Name
Mobile Phone Number
Relationship to Child
Landline Number (If applicable)
ADDITIONAL RESPONSIBLE ADULT

In Case of an Emergency
Name of Additional Responsible Adult
Mobile Phone Number
Relationship to Child
Landline (If Applicable)
OTHER RELEVANT INFORMATION
Please provide details of any regular medication, medical condition (e.g. asthma, epilepsy, diabetes, allergies, dietary needs) or disability which may affect normal activity. If your child has no medical conditions listed above, please enter 'Not Applicable'
Please note: The organisers cannot administer any medication or intimate care, please discuss this with the organisers who will work with you to establish how your child can be accommodated, according to the relevant Policies and Procedures.
IN THE EVENT OF A MEDICAL EMERGENCY

In the event of illness or an accident, I give permission for medical treatment to be administered to my child, where considered necessary, by a suitably qualified medical practitioner and/or hospital. I understand that every effort will be made to contact me as soon as possible. In an emergency, I can be contacted at the telephone numbers provided on this form.
Parent / Guardian Consent In The Event Of A Medical Emergency. Please sign in the box below.
CONSENT OF CHILD ATTENDING CHILDREN'S LITURGY
Child’s Agreement Please discuss participation with your child and confirm if they would like to attend Children’s Liturgy. I have discussed Children’s Liturgy with my child, and they would like to take part.

Child's First NameChild's Last Name
PHOTOGRAPHIC AND VIDEO CONSENT

Photographs and video recordings may be taken during group activities and may be used by the Parish of Maghera or the Diocese of Down and Connor in printed publications, on Parish or Diocesan websites, and on their official social-media channels.
Where appropriate, I have discussed this with my child and will respect their wishes. Please select one option below
Consent may be withdrawn at any time by contacting the Parish. Withdrawal will apply to future use, although it may not always be possible to remove material that has already been printed or published.
IMPORTANT NOTICE ABOUT THE PARISH WEBCAM

The 11:30 am Sunday Mass is streamed live on the Parish webcam. Children attending or participating in this Mass may appear in the live broadcast. If you do not wish your child to appear on the webcam, please inform the Group Leader before the Mass so that suitable arrangements can be discussed.
SUPERVISION AND CODE OF CONDUCT
Agreed Code of Behaviour
CODE OF CONDUCT FOR CHILDREN ATTENDING CHILDREN'S LITURGY
PARENT / GUARDIAN CONSENT
I agree to allow the above-named child to attend the Children's Liturgy Group held during the 11:30 am Sunday Mass
Signature of Parent / Guardian
CODE OF CONDUCT FOR VOLUNTEERS

Please read and agree the Code of Conduct at the bottom of this section
DATA PROTECTION

In accordance with the Data Protection Act 2018
Diocese of Down and Connor Safeguarding Guidance

This form and the associated codes of behaviour reflect the safeguarding guidance of the Diocese of Down and Connor. If you have any questions or concerns, please contact the Parish Office on 028 4372 2401 or the Parish Safeguarding Committee on 07840 028461
Signature
Should be Empty:

CHILDREN'S LITURGY

MISSION STATEMENT

CHILD AND GUARDIAN JOINT CONSENT

DETAILS OF CHILDREN'S LITURGY GROUP

DETAILS OF CHILD ATTENDING CHILDREN'S LITURGY GROUP

PARENT/GUARDIAN CONTACT DETAILS

ADDITIONAL RESPONSIBLE ADULT

OTHER RELEVANT INFORMATION

IN THE EVENT OF A MEDICAL EMERGENCY

CONSENT OF CHILD ATTENDING CHILDREN'S LITURGY

PHOTOGRAPHIC AND VIDEO CONSENT

Consent may be withdrawn at any time by contacting the Parish. Withdrawal will apply to future use, although it may not always be possible to remove material that has already been printed or published.

IMPORTANT NOTICE ABOUT THE PARISH WEBCAM

SUPERVISION AND CODE OF CONDUCT

PARENT / GUARDIAN CONSENT

CODE OF CONDUCT FOR VOLUNTEERS

DATA PROTECTION

Diocese of Down and Connor Safeguarding Guidance