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Limavady Baptist Church
Home
Know Jesus
About Us
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Coaching 4 You
13:Eight Outreach
COME JOIN US. THERE'S A CLAN FOR ALL AGES.
Limavady Campaigners Parental Consent Form
This is a general consent form to cover the meetings at Limavady Baptist Church Campaigners. Anything written on this form will be held in confidence. The leaders need to know these details in order to best meet the specific needs of your child. The activities will normally be held in the church building and details of any other activities will be covered by a separate consent form.
Child
’
s / Young Person
’
s Details
*
Indicates required field
Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Date of Birth
*
Health Details
Name of GP
*
First
Last
Contact Number
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
NHS Number:
*
Date of last anti–tetanus injection (if known):
*
Please state any regular medication, medical problems (e.g. asthma, epilepsy, diabetes, allergies, dietary needs, etc.) or disability which may affect normal activity:
*
Name of Parent / Guardian
*
First
Last
Contact Number:
*
Additional Contact (grandparent etc.)
*
First
Last
Contact Number
*
I give permission for my child, named above, to take part in the normal activities of this group. I understand that separate permission will be sought for certain activities, such as swimming or kayaking, and outings lasting longer than the normal meeting times of the group. I understand that while involved he/she will be under the control and care of the group leader and/or other adults approved by the church leadership and that, while the staff in charge of the group will take all reasonable care of the children, they cannot necessarily be held responsible for any loss, damage or injury suffered by my child during, or as a result of, the activity.
In the event of illness or accident, having parental responsibility and care of the above named child, I give my permission for first aid to be administered where considered necessary by a nominated first aider, or by suitably qualified medical practitioners.
If I cannot be contacted and my child should require emergency hospital treatment, I authorise the leader
–
in
–
charge to sign on my behalf any written form of consent required by the hospital. However, I understand that every effort will be made to contact me as soon as possible.
*During the time your child will spend with us, photographs may be taken for church or organisation purposes, which may include display on the church organisation literature/website, and for this we need your permission.
*Responsible young people under the age of 18 may walk to and from the activities unsupervised but only with parental consent. If you wish your child to do so please indicate below. Please note that Limavady Baptist Church cannot accept responsibility for any accidents occurring to children, on their way to or from the premises, once such consent has been given.
I give permission for my child to arrive or leave unsupervised
*
Yes
No
I give permission for photographs to be taken of my child as noted above.
*
Yes
No
I confirm that the above details are correct to the best of my knowledge
Name
*
First
Last
Date
*
Submit
NI Campaigners Bible Quiz 2020
Parents’ Night 2018
Junos Food Decoration Fun
Inters & Craftsmen Woodwork Badge
Junos Computing Skills Badge Work
Campaigner Sunday 2017
Eagles & Junos Christmas Fun
Junos Craft Night
Parents & Friends Night 2017
2017 Bible Quiz Winners
Ice Skating Night 2016
Home
Know Jesus
About Us
What We Believe
COVID–19: Our Response
Prayer Request
Sunday School
Parents & Toddlers
Campaigners
Women’s Fellowship
Baptist Youth Fellowship
Thoughts from the Kitchen Table
Coaching 4 You
13:Eight Outreach