Grace Church Quedgeley | Sparklers Admin Form

Child 1: Name *

First

Last

Child 1: Date of Birth *

Child 1: Additional information e.g allergies, asthma etc

Child 2: Name

First

Last

Child 2: Date of Birth

Child 2: Additional information e.g allergies, asthma etc

Child 3: Name

First

Last

Child 3: Date of Birth

Child 3: Additional information e.g allergies, asthma etc

Your Name *

First

Last

Street Address *

Street Address Line 2 *

City *

Postcode *

Telephone number *

Email *

Photographic consent

I consent to photographs of me and my child/children being taken.

Photographs are only used for publicity or display purposes.

GDPR Agreement *

I give permission for Grace Church Quedgeley to collect and process my data and data relating to my child/children.

This data is collected in case we need to contact you urgently. You have the right to access any personal data that we hold on you and your child/children. All information given is treated as confidential and will not be disclosed to any third party, except for the purposes of track and trace.