St Werburgh's Church

Youth Parental Consent

Parental Consent Form

By completing this form, you are giving consent for your child to take part in Youth activities at St Werburgh's Church, Chorlton.

Young Person's Details

Young Carer A young carer helps to look after a relative with a disability, illness, mental health condition, or drug or alcohol problem.

Parent or Carer

If different from child

Second Emergency Contact

in case of emergency, please provide a second contact.

Photographic Images

During the course of our regular activities we may take photographs to be used both on the church website and in future event publicity. In order to publish an image of your child we need parental permission. All such photographs will be handled in accordance with our Child Protection Guidelines and we will NOT publish any names or personal information.

I grant permission for the church to publish images of my child in promotional publications, the church website and online social media...

Please note any change to this must be given in writing.

Parent/guardian signature required