KingsnorthCreate: ToddlerCreate Registration Form

KingsnorthCreate complies with the Data Protection Act 2018. All data provided will be held and used in accordance with this Act.

Your name *

Email address *

Section 1 - Child's Information

Name of Child

Date of Birth *

Address *

Home Telephone Number: *

Mobile Telephone Number: *

Health Problems, Medical Conditions, Allergies, Disabilities or Medication: *

Doctors Address and Name: *

Has the child had the tetanus vaccine? *

Yes

Name(s) of Parent(s) or Guardian(s) with Parental Responsibility: *

If the child does not live with the parent(s) or guardian(s), please provide details of their current residence:

Emergency Contact Details: *

Name + Contact Number

Emergency Contact Details: *

Name + Contact Number

If accompanied by a carer please provide Emergency Contact Details for carer:

Name + Contact Number

Section 2 – Consent and Permissions

I give permission for my child to take part in the normal activities of KingsnorthCreate’s Toddler Group. I understand that the leaders will take reasonable care but cannot be held responsible for any loss or damage to property. *

Yes

In case of emergency, if I cannot be contacted, I give permission for my child to receive emergency medical treatment as deemed necessary by medical authorities. *

Yes

Occasionally, we may use photographs and/or videos of children for promotional purposes. May we use your child’s image on our website, social media pages, or other platforms?

Yes

Section 3 - Data Protection and Privacy

To comply with GDPR, we need your permission to hold and process your data. All information will be kept confidential and used only for church-related purposes. You can find out more about how your data is used here: https://www.ashfordtownparish.co.uk/privacynotice.

Please confirm your agreement:

I consent to the Ashford Town Parish holding my and my child’s details as described above.

I consent to the Ashford Town Parish holding my and my child’s details to inform me of upcoming events and services.

For any questions or concerns, please contact:

KingsnorthCreate Coordinator: Revd. Adam Childs
Email: adam.childs@ashfordchurches.co.uk
Office Telephone: 01233 620433

Thank you for registering with KingsnorthCreate!