Young Person’s Permissions Form

Please complete this form to share with us any health information we need to be aware of to keep you / your young person safe, and to ensure we understand what you do and don’t consent to:

 

Your / Young Person's Contact Details

Parent / Carer Details


Keeping safe


Emergency Contacts


Parent / Carer Permissions

We will use the contact details you have provided above to contact you about your child's programme. In addition:

Young Person's Permissions

We will use the contact details you have provided above to contact you about your programme. In addition:

Agreements

US values your privacy and is committed to protecting your data. This information will be held securely on computer and within manual files.  As a data processor we are registered with the ICO and committed to meeting the requirements of GDPR.The personal information we collect about you will mainly be used by our staff (and volunteers) at US so that they can deliver our activities and provide the best support to you. We will never sell or share your personal information with organisations so that they can contact you for any marketing activities. US may share your information with our trusted partners and suppliers who work with us or on our behalf to deliver our services, with other groups or agencies for continuation of or new support for you, and with bodies who have provided funding for our work with you and other young people. We may disclose your information if required to do so by law (for example, to comply with applicable laws, regulations and codes of practice or in response to a valid request from a competent authority)
- I acknowledge and consent to the above personal information handling and sharing
- I give my consent for US to use the information I have provided to offer information, advice and support.
- I wish to take part in activities identified and agreed between US and me.

Agreements

US values your privacy and is committed to protecting your data. This information will be held securely on computer and within manual files.  As a data processor we are registered with the ICO and committed to meeting the requirements of GDPR.The personal information we collect about you and your child will mainly be used by our staff (and volunteers) at US so that they can deliver our activities and provide the best support to your child. We will never sell or share your personal information with organisations so that they can contact you for any marketing activities. US may share your information with our trusted partners and suppliers who work with us or on our behalf to deliver our services, with other groups or agencies for continuation of or new support for your child, and with bodies who have provided funding for our work with your child and other young people. We may disclose your information if required to do so by law (for example, to comply with applicable laws, regulations and codes of practice or in response to a valid request from a competent authority)
- I acknowledge and consent to the above personal information handling and sharing
- I give my consent for US to use the information I have provided to offer information, advice and support.
- I give consent for my child to take part in activities identified and agreed between US, them and me.

I give my consent for this information to be shared with US.

Please type your name here

18/07/2024

Signature

I give my consent for this information to be shared with US.

Please type your name here

18/07/2024