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  • General Information and Consent Form

    In order to ensure your child's safety we would be grateful if you would complete and return this form. Please let us know if any of these details change. A copy will be retained confidentially by the group leader.

  • What day/s will your child attend? Please select all that are applicable.
  • Date of birth of child or young person
     / /

  • Contact details

    Your details will be held in the run up to, and duration of, the Holiday Club. If you tell us you do not wish to be contact after the Holiday Club, we will dispose of your details at the close of the Holiday Club. If you need to update your details at any point, you can get in touch with the team at kirkielenzieyouth@gmail.com

  • Friday 14th August Lunch Invite

    We would like to invite your child, along with their family or carers, to stay for lunch after the club finishes at 12 noon.This will give you the opportunity to see what the children have been exploring and learning during the Holiday Club.
  • Would you like to attend the lunch on Friday 14th August?

  • Medical information

    Please outline any medical and dietary requirements we need to be aware of.
  •  -

  • I give permission for my child as named above to participate in the normal activities of this group.

    I understand that separate permission will be sought for certain activities and outings lasting longer than the normal meeting time of the group.

    I understand that while involved in the activities of this group, they will be under the control and care of the group leader and/or other adults approved by the church leadership and that, while the staff in charge of the group will take reasonable care of the children, they cannot necessarily be held responsible for any loss, damage or injury suffered by my child during, or as a result of the activity. In an emergency and/or I cannot be contacted, I am willing for my child to receive necessary hospital or dental treatment including an anaesthetic.

    If you have any queries, please contact the Church of Scotland Law Department (lawdept@churchofscotland.org.uk; 01312255722) 

  • Date
     / /

  • The purpose of the UK Data Protection Act 2018 is to ensure that any personal data an organisation holds about an individual is stored and used in an appropriate way. This congregation, through presbytery, is registered with the Information Commissioner's Office and strives to comply fully with data protection law. The Information Commissioner's website provides in-depth information regording the requirements of the Data Protection Act: https://www.ico.org.uk/

    This congregation is committed to protecting privocy and sofeguarding personal data. We shall use the information you have provided us with for sofeguarding purposes and related motters and will only keep the data for as long as required for that purpose. The full Privacy Notice for our congregation is available on our website. Please ask for details from your Safeguarding Coordinator. Should you hove any questions concerning the use of the information you provide please contact the Safeguarding Coordinator.

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  • Media Consent Form

  • Kirkie & Lenzie Youth Team Lenzie Church of Scotland (formerly Lenzie Union and Lenzie Old), St David's Memorial Park Church and St Mary's Parish Church are committed to ensuring church activities follow good practice. This includes collecting information and adherence to safe storage guidelines as outlined in the Good Practice Guidelines for use of photography/video within the Church of Scotland.
    A congregation must seek child and parental/carer consent for the use of internet
    technology. Before communicating using social media applications, taking a photograph, video, audio recording, or using any information about a young person (under the age of 16) or vulnerable adult for the purposes of a Church of Scotland activity, written consent should be obtained from a parent or guardian.
    The parent or guardian must be informed of the purposes for which the media (photograph, video, audio recording, etc) and/or information will be used and asked to give their permission. The parent or guardian must be informed of the purpose for communicating, providing resources, activities, groups via social media applications and asked to give their permission. The Church of Scotland Safeguarding Service updated Social Media guidance provides information on when information will be logged/recorded for safeguarding purposes. Some media applications have the ability to record, all meeting hosts must ensure
    that recording is disabled in all cases. The parent or guardian must also be informed as to whether the media or information will be used for marketing purposes and given the opportunity to “opt out” of this purpose if they wish.
    If such material involves those over 16 and/or non-vulnerable adults, and will be made publically available (eg from a website), written consent should also be obtained using the template consent form available from the Church of Scotland website:
    http://www.churchofscotland.org.uk/resources/law_circulars#data_protection) 

  • Consent I hereby authorise the 3 congregations who form the Kirkie & Lenzie Youth team to publish the following media/information about the below named young person/vulnerable adult: (please select all that apply)
  • For the following purposes: (please tick all that apply)

  • Agreement
    I can withdraw consent at any time by contacting the Holiday Club’s Safeguarding
    Coordinator.
    I understand any media or information as agreed above and which is published prior to
    withdrawal of my consent may not be able to be withdrawn.
    I understand any media or information as agreed above will not be used in any new material
    following withdrawal of my consent.
    Giving or withdrawing consent will not affect any services that I or my child/charge receive
    or any future dealings I or my child/charge may have with the Congregation

  • The purpose of the UK Data Protection Act 2018 is to ensure that any personal data an organisation holds
    about an individual is stored and used in an appropriate way. This congregation, through presbytery, is
    registered with the Information Commissioner’s Office and strives to comply fully with data protection law.
    The Information Commissioner’s website provides in-depth information regarding the requirements of the
    Data Protection Act: https://www.ico.org.uk/ 
    This congregation is committed to protecting privacy and safeguarding personal data. We shall use the
    information you have provided us with for safeguarding purposes and related matters and will only keep the
    data for as long as required for that purpose. The full Privacy Notice for our congregation is available on our
    website. Please ask for details from your Safeguarding Coordinator.
    Should you have any questions concerning the use of the information you provide please contact the
    Safeguarding Coordinator.

  • Would you like to be kept on our contact list for future children/youth/family events from the cluster churches? (St David's Memorial Park, St. Marys Parish Church, Lenzie Church of Scotland (Formally Lenzie Union Parish Church, Lenzie Old Parish Church)
  • Should be Empty: