King’s Youth – Element Consent Form August 17 2017| 0 comments | Category : Uncategorized CONTACT DETAILSYoung Person’s Name* First Last Date of birth*Address* Street Address Town/City County Postal Code Parents’ / Guardians’ Name* First Last Daytime Phone*Evening PhoneMobile Phone (if different)Email* MEDICAL DETAILSName of your Doctors' Surgery*1. Does your young person have any allergies?*NoYesPlease give details below 2. Does your young person have an illness or disability?*NoYesPlease give details... 3. Is there anything else that would help us support your young person better?*NoYesPlease give details... EMERGENCY CONSENT1. I give permission for my young person to be given paracetamol if they are suffering from a headache or other minor ailment.*YesNoWhat should we give them instead? 2. In the unlikely event of illness or accident, I give permission for my child to receive any medical treatment that a First Aider deems necessary.*YesNo3. In an emergency and/or if I am not contactable, I am willing for my child to receive doctor, hospital or dental treatment including an anaesthetic.*YesNoPHOTO AND VIDEO CONSENTWe may take photos or record videos during King's Youth events which may include your young person. These images may appear on a notice board at the church, in a presentation to the church, on the King’s Youth website or in King's Youth Social Media accounts. To comply with the Data Protection Act 1998, permission must be granted by the parent / carer before any images of your young person are taken and used. This form is valid for 2 years from the date of signing. Your consent will automatically expire after this time; We will not re-use any images after this time; We will not include details or full names (which means first name and surname) of any person in an image on website, or in printed publications, without good reason and only with your express consent; We will not include personal e-mail or postal addresses, or telephone or fax numbers on our website or in printed publications. We may use group images with very general labels, such as "youth enjoying sport" or "making Christmas decorations"; We will only use images of young people who are suitably dressed, to reduce the risk of such images being used inappropriately.1. May we use your child’s image to display activities on our notice board or in Powerpoint presentations to the church?*YesNo2. May we use your child’s image on our website, King's Youth Social Media accounts or printed publications?*YesNo3. May we use your child’s image in recorded videos that will be used in church meetings or on our website to inform the church of all we do in King’s Youth?*YesNoKEEPING YOUNG PEOPLE SAFEOUR POLICY IS THAT NO YOUNG PERSON MAY LEAVE THE KING’S CENTRE BETWEEN 7PM AND 9PM ON A FRIDAY WITHOUT SPOKEN PARENTAL PERMISSION. IF YOUR YOUNG PEOPLE ASK TO LEAVE, WE’LL ASK TO SPEAK TO YOU IN PERSON. WE’D BE GRATEFUL IF YOU COULD CHAT THIS THROUGH WITH YOUR YOUNG PERSON IN ADVANCE, SO THERE’S NO CONFUSION ON THE NIGHT. THANK YOU! THANK YOU!Please click 'Submit' and then check that there are no additional fields to complete. If your form has been successfully received then you will see a confirmation message in the place of this form when the page has refreshed, and will also receive confirmation by email.