Caerwent Evangelical Baptist Chapel - Holiday Club Registration

HOLIDAY CLUB PRE-REGISTRATION FORM

If you have any queries, please feel free to email holidayclub@caerwentbaptist.com

Please fill in the form below:

Full name of parent/guardian

Tel No

Email

House name/number

Street name

Village/town

County

Country

Postal Code

First name(S) of child

Last name of child

Child’s date of birth

Do you give permission for your child to walk home unattended at the end of Holiday Club?
YES
NO

If not, please state the name(s) of the person(s) who will be collecting your child:

Do you give permission for your child to be photographed?
YES
NO

Do you give permission for your child’s photograph to be posted on the church’s social media or website for the purpose of showing the public what happens at the club?
YES
NO

Note: Your child’s name will not be published. Photographs will be deleted from all devices after 24 hours and kept in a locked electronic file for historical purposes.

Does your child have any medical conditions or allergies we need to be made aware of?

Does your child take any medication? If so, please provide the details:

Today’s Date

You can withdraw or change your consent at any time by contacting Andrew Close, the Data Protection Trustee, by emailing secretary@caerwentbaptist.com. Please note that all processing of your personal data will cease once you have withdrawn consent, other than where this is required by law, but this will not affect any personal data that has already been processed prior to this point.

Submit

HOLIDAY CLUB PRE-REGISTRATION FORM

Please fill in the form below:

Our Purpose

Address

Email us or call us