Funky Tots Consent Form

Child's Full Name

Child's Gender

Age

Parent/Guardians name

Parent/Guardians email

Parent/Guardians contact number

Parent/Guardian Postcode

Parent/Guardian Relationship to the child

Would anybody else be bringing your child to the sessions?

Does your child have an Allergy, Disability or Health Condition?

WHITE ETHNICITY/CULTURAL BACKGROUND

English / Welsh / Scottish / Northern Irish / British Irish Gypsy / Irish Traveller

Black ETHNICITY/CULTURAL BACKGROUND

African Caribbean

Asian ETHNICITY/CULTURAL BACKGROUND

Indian Pakistani Bangladeshi Chinese

Mixed ETHNICITY/CULTURAL BACKGROUND

White / Black Caribbean White / Black African White / Asian

Other ETHNICITY/CULTURAL BACKGROUND

Arab Other

If other ethnicity please describe here

Give Consent to Media (Optional)

I am the parent/guardian of the above-named child and I give consent for Freedom Foundation to take photographs, film and record my child for promotional and research purposes.

Give Consent to Data Processing

I am the parent/guardian of the above-named child and I consent to Freedom Foundation processing this personal data to achieve their educational aims, including registration and ensuring the safety of my child at a Freedom Factory session.

Freedom Foundation's Privacy Policy is available at - www.freedomfoundation.org/privacy-policy

Funky Tots Consent Form

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