Ivy Church

Parental Consent

Parental Consent Form

By completing this form, you are giving consent for your child to take part in activities at Ivy Church.


Child/Young Person's Details


Person with Parental Responsibility

If different from child



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 the church notice boards.

If you do not give permission for your child’s photo to be published, please make sure that your child is aware of this.

Parent/guardian signature required