1. Surname *
2. First Name *
3. Address *
4. Phone Number *
5. Email
6. Child 1 *
7. Date of Birth *
8. Child 2
9. Date of Birth
10. Child 3
11. Date of Birth
12. Child 4
13. Date of Birth
14. Allergies, Medication, Health Conditions?
15. Emergency Contact Number (if different from above)
16. PLEASE TICK BELOW

    I give permission for my son/daughter to take part in the normal activities of this group. I understand that separate permission will be sought for offsite activities:

    YESNO

17. I give permission for Dedworth Green Baptist Church to take photographs of my child for the purposes of publicity and to record the life of the church: YESNO

The personal information you give us is held by Dedworth Green Baptist Church. We keep this information in both paper and electronic form. We will not share it with any other individual or organisation without your consent. We will only use this information for purposes to do with the running of this group. Any contact details that we are not required by law to retain will be removed from the database three years after your last contact with the church, unless you ask us to keep in touch. We respectfully ask that you do not share photos taken at Dedworth Green Baptist Church of children or young people on any social media platforms, unless you have the consent of parents whose children might feature in your pictures. Dedworth Green Baptist Church will only take photographs when consent has been given.