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Funky Tots Consent Form
{"white":{"display_mode":"show","fire_action":"All","file_types":"png","logic_data":[{"cfef_logic_field_id":"ethnicitychoice","cfef_logic_field_is":"==","cfef_logic_compare_value":"White","_id":"62a4bba"}]},"black":{"display_mode":"show","fire_action":"All","file_types":"png","logic_data":[{"cfef_logic_field_id":"ethnicitychoice","cfef_logic_field_is":"==","cfef_logic_compare_value":"Black","_id":"f3f9c8d"}]},"asian":{"display_mode":"show","fire_action":"All","file_types":"png","logic_data":[{"cfef_logic_field_id":"ethnicitychoice","cfef_logic_field_is":"==","cfef_logic_compare_value":"Asian","_id":"4d8fabb"}]},"mixed":{"display_mode":"show","fire_action":"All","file_types":"png","logic_data":[{"cfef_logic_field_id":"ethnicitychoice","cfef_logic_field_is":"==","cfef_logic_compare_value":"Mixed","_id":"5ddf17c"}]},"otheroption":{"display_mode":"show","fire_action":"All","file_types":"png","logic_data":[{"cfef_logic_field_id":"ethnicitychoice","cfef_logic_field_is":"==","cfef_logic_compare_value":"Other","_id":"9950fd1"}]},"otherdetail":{"display_mode":"show","fire_action":"All","file_types":"png","logic_data":[{"cfef_logic_field_id":"otheroption","cfef_logic_field_is":"==","cfef_logic_compare_value":"Other","_id":"bc2b18f"}]}}
Child's Full Name
Child's Gender
Age
2 years old
3 years old
4 years old
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?
What is the childs Ethnicity/Cultural Background?
White
Black
Asian
Mixed
Other
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
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