Child's name *

First Name

Last Name

Parent/guardian name *

First Name

Last Name

Parental Consent *

I give permission for my child as named above to take part in the normal activities. I understand that while involved in the activities , he/she will be under the control/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 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 activities.

YES

In an emergency and/or I cannot be contacted, I am willing for my child to be receive necessary hospital or dental treatment including an anaesthetic. *

YES

NO

I am happy for John Knox church to retain the contact details above and to contact me or my child about future holiday clubs and events for families or children at John Knox church. *

YES

NO

How would you like your child to be told about meet ups? Pick as many as you like. *

Text message to parent

Text message to child

Group WhatsApp message to child

Email to parent

Media Consent

At John Knox church we are committed to ensuring church activities follow good practice. Please let us know whether you are happy for us to take photographs and video of your child during activities. I hereby authorise John Knox church to take photos/videos of my child during the children’s activities at John Knox church for the following purposes. I can withdraw consent at any time by contacting the Congregation’s Safeguarding Coordinator. Please speak to Christina for contact details or see our safeguarding page. I understand any media or information as agreed above and which is published prior to withdrawal of my consent may not be able to be withdrawn. I understand any media or information as agreed above will not be used in any new material following withdrawal of my consent. Giving or withdrawing consent will not affect any services that I or my child receive or any future dealings I or my child may have with John Knox church. (Please tick all the ways in which you are happy for photos to be used):

For use in artwork that my child may take home

For inclusion in John Knox’s publications, whether in print or electronic format

Within the church premises e.g. notice boards

On the church website and social media channels eg. Instagram

For inclusion in any of the Congregation’s publicity, presentations, banners or marketing material

For inclusion in local publications eg Kilmarnock Standard, The Review.