Children's Ministry Conference 2027
Delegate Booking Form
Delegate Name
*
Parish (Town and Church Name)
*
Delegate Address
*
Street Address
Street Address Line 2
City
County
Postcode
Delegate Email
*
example@example.com
Delegate phone number
*
Lunch Menu Choices
Dietary Requirements (please add specific details)
*
No dietary requirements
Vegetarian
Vegan
Coeliac/Gluten Intolerant
Lactose Intolerant
Main
*
Beef Hotpot
Beef Lasagne
Vegetable Chilli (V/VE)
Coeliac / Gluten Free Option
Dessert
*
Fruit Salad with Meringue and Cream (V)
Fruit Salad only (V/VE)
Apple Pie and Custard (V)
Apple Pie and Cream (V)
Apple Pie only (V)
No dessert
If you have any medical dietary needs which mean that you are unable to select one of our listed menu choices, please contact us via before booking your place: children@blackburn.anglican.org
Photo Consent
The Diocese of Blackburn (The Church of England in Lancashire) and Blackburn Diocesan Board of Education would like to take photographs or video of you for promotional purposes. The resulting images may appear in our printed publications, on our website or our social media accounts. Please note, any image taken, or information you provide, will not be used for any purposes other than as outlined above.
*
I understand
1. May we use your image in printed form, video, online and social media channels?
*
Yes
No
In order to ensure that your image is not included in our event coverage, we would ask that you please provide a reference image for our records, so that we can ensure compliance with GDPR. This will be taken upon arrival at the event.
*
I understand
The personal information obtained through the completion of this form will be used by members of the Board of Education to contact you with regards to the Children's Ministry Conference 2027. We will not share your details with any third parties.
*
Please tick to confirm that you have understood and agree to this information being used this way.
Do you give permission for us to retain your contact details so that members of the Board of Education may contact you about future Children and Youth Events that maybe of interest to you?
*
Yes
No
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