Information and consent form

Information and consent form

1st Thames Ditton Brownies - Autumn Term 2024
Part 1 - Please indicate which events your daughter will participate in.
Ringo*
Ice Skating*
Cinema Screening*
Part II – to be completed by the parent/carer of participants aged under 18.

This form can be returned electronically.
Participant’s full name*
Participant’s membership number
Age at start of event*
Unit name
Please provide details of any disabilities, health or access needs (including allergies) that are relevant to this event.
Please provide any extra information that will help us make the event accessible for your child e.g. dietary requirements, requirement for a prayer space
NOTE: Please label any medication with your child’s name and provide clear instructions for its use. If applicable,

Please give details of a person who will be contactable at all times during the event/activity.
Name*
Telephone 1*

Country CodePhone Number
Telephone 2*

Country CodePhone Number
Email*
example@example.com
Address
How do they know the participant?*
Consent
I give permission for my child to take part in
and for the medication noted here to be administered (if required).

Calpol
Parent/carer's name*
Date*

MonthDayYear
Date
* Where the term parent/carer is used, this refers to the adult that has legal responsibility for this child.

What will you do with my data?

It’s simple. We need the information you share with us to run our exciting activities and to satisfy our legal responsibilities. We’ll keep it safe for as long as your child is an active member. We promise we’ll only share your information if:

Don’t worry – we’ll never sell your data or share it for any other reason. Girlguiding is the registered data controller* for all our members’ personal information, both in the UK and around the world.

information – and your rights? Visit www.girlguiding.org.uk/privacy-notice
Should be Empty:

Information and consent form

Consent