Street Stuff Consent Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Street Stuff consent form must be completed prior to participating in our Spring Camp activities.

Please select Area *

St Pauls's PS Foxbar

West Johnstone Shared Campus, Johnstone

Linwood High School

Glencoats PS, Ferguslie

St James PS, Renfrew

Gleniffer High School

please select age group *

5-8 years

9-12 years

13-16 years

Email Address *

Participant name *

Participant Date of Birth *

YYYY

Participant Age *

Participant Home Address *

Parent / Guardian contact number *

Participant Mobile Number

Name of Doctor *

Telephone number (Doctor Surgery) *

Date of Last Polio, Tetanus inoculations if known

YYYY

Please identify any known medical conditions such as asthma, diabetes, epilepsy, allergies and also travel sickness, fears etc. *

Please give details of any medication being taken and whom it is administered. *

Any special dietary requirements, such as vegetarian, lactose intolerant, food allergies, etc *

Name of main emergency contact *

Contact number of main emergency contact *

Email address for emergency contact *

I hereby give consent for my child to participate in Street Stuff activities *

Yes

Required

I understand that Street Stuff accept no responsibility for loss, damage or injury caused by or during attendance on any of the organised activities except where such loss, damage or injury can be shown to result directly from the negligence of Street Stuff staff. *

Yes

Do you give consent to photographs/videos of your child being used in project material which may be used for future advertising, website, social media PR purposes? *

Yes

I understand that in the event of my child requiring of medical treatment our Street Stuff staff will do everything possible to contact you *

Yes

However in an emergency I give permission for the group leader to authorise any necessary medical treatment, including anaesthetic or blood transfusion. *

Yes

I undertake to inform staff at Street Stuff of any changes in the health of my child. *

Yes

I wish to be kept updated on Street Stuff activities? *

Yes

Name of person responsible for completing consent form *

Relationship to participant *

Date form completed *

YYYY

GDPR DATA CONSENT FORMWe need to collect information about you when you purchase a season ticket, match day ticket, an item from our online shop, attend a hospitality event or participate in our community activities etc. This information will normally only relate to your personal details, such as your name, date of birth, postal address, email address and phone number. We will only gather and process personal data if we have a proper reason for doing so, in a manner that is lawful, fair and transparent. Your personal information is very important to us and we will endeavour to take all due care to protect it. Your information will not be sold to third parties, although when purchasing tickets/goods online, then Sagepayand Stripe the companies who process your payments, will have access. These organisations, to whom you provide your payments details also have their own obligations to deal with your personal information appropriately. We publish a Privacy Notice, which gives more information about the nature of our personal data processing activities and includes details of our retention and deletion policies as well as your rights of access to the personal information that we hold on you. PERSONAL DATA CONSENTThe primary basis on which we intent to process your personal data is for compliance with our regulatory obligations in respect of our governing bodies, the SPFL and SFA. I consent to the processing of limited personal data as far as is necessary for the services I require from St Mirren Football ClubFull Name:-Signature :-Date :-You may withdraw this consent at any time by notifying us at our main business address PERSONAL DATA PARENTAL CONSENTThe primary basis on which we intent to process your childs’s personal data is for compliance with our regulatory obligations in respect of our governing bodies, the SPFL and SFA. As a parent or legal guardian of a child under age 16, I consent to the processing of limited personal data as far as is necessary for the services I require from St Mirren Football ClubFull Name of Parent:-Signature of Parent:-Child’s Full Name:-Date:-You may withdraw this consent at any time by notifying us at our main business addressMARKETING CONSENTWe may wish to contact you from time to time to inform you of Club News as well as special ticket offers or hospitality news. We need your specific consent to do so, by email, telephoneor post.I consent to be being contacted by St Mirren Football Club for marketing purposes.Full Name:-Signature:-Date:-

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms