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Safeguarding
Home
About Us
Who are we?
The team
What's Going On?
Sunday Services
Regular Communities
Calendar and upcoming events
Youth Events
Get Involved
Pray
Give
Vacancies
Contact Us
Oak's Big Camp Out
Oak’s Big Camp Out
REGISTRATION FORM
Oak's Big Camp Out
I would like to come to the Oak Church Weekend Away from the 28th – 30th August 2021 Paid? Yes / No Cheque / cash / bank transfer Amount to be paid……………………………………………………
Person's Details
Name
*
First Name
Last Name
Address
Address Line 1
*
Address Line 2
Town
*
Postcode
*
Person's Contact Details
Mobile Number
*
Email
Medical Details
Does he/she suffer from any on-going or recurring illness?
*
Yes
No
If so. please state:
Does he/she take regular medication?
*
Yes
No
If so, please state:
Does he/she have any known allergies, phobias or disabilities?
*
Yes
No
If so, please state (please include allergies to all types of medication):
Has he/she been immunised against Tetanus within the last 10 years?
*
Yes
No
Does he/she have any special dietary requirements (e.g. vegetarian)?
*
Yes
No
Please list any dietary requirements:
In the event of any 'homely' medication (e.g. paracetamol, ibuprofen, cough mixture, antacid, anti-histamine) being required please state which you will permit to be given:
*
Please state 'As listed above' or list which specific 'homely medication':
Can he/she swim 25 metres?
*
Yes
No
Is there any personal information Oak Church Stevenage should be aware of?
*
Yes
No
If so, please state:
Please give details below of your GP:
Doctor's Name
*
Surgery Address
*
Phone Number
NB: The medical profession takes the view that a parent's consent to medical treatment cannot be delegated. This view is explicit in the Children Act 1989. Medical consent forms have no legal status and a doctor has the right to insist on parental consent to treat a child. However, it can be of comfort to medical staff to have general consent in advance from parents or have a leader on hand to sign forms.
Parent/Carer's Details and/or Emergency Contact
Name
*
First Name
Last Name
Mobile Number
*
Email
*
If you are 18 or over you can sign this form for yourself, but only for yourself.
Tents
Are you bring a tent to have on your own, with your family or sharing with a friend/s? How big is your tent?
Permissions
By signing this form you are giving permission for your son/ daughter/ward to attend events run by Oak Church Stevenage (OCS) in charge of OCS. You are also granting your consent to any medical treatment that may be required in an emergency by either a qualified medical practitioner or a qualified first-aider. I will inform the Oak Church Stevenage team of any changes to the medical information supplied on this form.
Do you give permission for photos or videos to be taken by Oak Church Stevenage and to be used for internal communication and fundraising applications by Oak Church Stevenage?
*
I give permission
I do not give permission
Do you give permission for photos or videos to be taken by Oak Church Stevenage and to be used on Oak Church's social media pages and website?
*
I give permission
I do not give permission
Do you give permission to Oak Church Stevenage to keep you informed about news, events, activities and services at Oak Church Stevenage?
*
I give permission
I do not give permission
The information you provide will be treated confidentially. You can grant consent to all the purposes; one of the purposes or none of the purposes. Where you do not grant consent we will not be able to use your personal data; (so for example we may not be able to let you know about forthcoming services and events); except in certain limited situations, such as where required to do so by law or to protect members of the public or yourself from serious harm. You can find out more about how we use your data from our “Data Privacy Notice” which is available from oakchurchstevenage.org or from the Oak Church Office. You can withdraw or change your consent at any time by contacting our Operations Co-ordinator at Oak Church Stevenage, High Street Methodist, Sish Lane, Stevenage, SG1 3LS or info@oakchurchstevenage.org. Please note that all processing of your personal data will cease once you have withdrawn consent, other than where this is required by law, but this will not affect any personal data that has already been processed prior to this point.
Thank you!
