PERSONAL DETAILSYour Name* First Last Date of birth* Phone Number*Email* Address Address Line 1 Address Line 2 Town/City County Post Code Social Media Account Facebook Instagram The majority of our communication will be done via Facebook or Instagram, using closed groups or instant message. Therefore we would ask that you send a request to follow us on Facebook or Instagram and let us know your social media address to ensure we can confirm who you are.I consent to my contact details being stored electronically and on paper for the purpose of my involvement with King's Church High Wycombe.* Yes No We will continue to hold your information for 5 years. You can view our Data Protection Policy or request to be removed from our database at any time by emailing firstname.lastname@example.org or ringing 01494 459 901. You can update the information which we hold on you at any time by logging into our online database, iKnow, or contacting the Church Office.I consent to being contacted by King's Church High Wycombe in regards to Youthwork.* Post Mobile Phone Email Home Phone You can change your contact preferences at any time by emailing email@example.com or ringing 01494 459 901.I consent to my medical and emergency information, as supplied by my parent/guardian, being stored electronically and on paper for the purpose of safely attending events with King's Youth.* Yes No We will ask your parent(s) for this information at least once a year in order to ensure it is current and relevant, and automatically delete the information after that. You can request that the information is deleted at any time by emailing firstname.lastname@example.org or ringing 01494 459 901, however for your safety we will not be able to take you to an event without current information provided by your parent/guardian.PHOTO AND VIDEO CONSENTWe may take photos or record videos during the course of our time away. 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.1. May we use your image (still or video) within the church (printed, e.g. banner)?* Yes No 2. May we use your image (still or video) on the King's Youth Social Media accounts?* Yes No 3. May we use your image (still or video) on the King's Church website, YouTube channel or Social Media accounts?* Yes No Notes: This form is valid for 5 years, but you can update your permissions at any time by contacting the church office. 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 phone 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.THANK YOU!Please click 'Submit' and then check that there are no additional fields to complete. If your booking has been completed 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.