Parents E-mail Address: *

Name of Young Person

Address

Telephone Number

Date of Birth

Dietary Requirements

Year at School

Friends they would like to share with

Payment Options (£130 by 13th Jan / £140 from 14th Jan / Standing Order / Bank Transfer) £130 by 13th Jan £140 from 14th Jan Standing Order Bank Transfer

Signed by parent / guardian

Date

* Required Free Contact Form

Posted on 8 November 2018

Please only complete forms if travelling either or both ways to the event with Mungo’s leaders

Sign up to Powerpoint on Friday 16th November at Central, Tollcross, Edinburgh – meet at Balerno High School bus stop at 6.25pm.  Bus fare and £5 for entry to Powerpoint required.

E-mail Address: *

I give permission for my son/daughter to attend Powerpoint

Will your son / daughter be travelling back to Balerno with the group? Yes or No

Will you be collecting your son/daughter direct from Powerpoint? Yes or No

Please specify any medical conditions

Contact number for the evening in case of an emergency

Signed (Parent/Guardian)

* Required

Posted on 5 November 2018

St Mungo’s takes very seriously its duties to respect the confidentiality and privacy of all people we engage with.  All our staff and volunteers are asked to treat as confidential any information or personal data that they come into contact with relating to individuals in our church.  No information will be passed to a third party without express permission, except in cases of child protection concerns.

If your son / daughter has still to complete a consent form, you can download a form here (please ensure you complete their name) and also a set of guidelines for you to read.

Use of Photographic Images Consent Form_children

Use of Photographic and Video Images_Guidelines

Consent forms should be return to Wendy Brown at the address below:

St Mungo’s Ministry Centre

46B Bavelaw Road

Balerno, EH14 7AE

Or by email (provided the form has been signed)

Posted on 28 May 2015