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Family Weekend event

Family Weekener

Northern Ireland Family Weekend 2019Scotland Family Weekend 2019Wales Family Weekend 2019
YesNo

Lead Adult




I give permission






Additional adults attending


Children and young people attending






YesNo
YesNo
I give permission







YesNo
YesNo







YesNo
YesNo







YesNo
YesNo



Tell Us How You Want To Hear From Us

Children’s Liver Disease Foundation would love to keep in touch with you about our vital work. By contacting you in the way you choose, we can be more cost effective in our communications and marketing activity.

What would you like to hear from us about and how?

Please note:
1. We don’t send much post so if you only choose one option email would be best.
2. We’ll update all contact preferences on our systems within 21 days of receiving your request.

By postBy emailBy phone (a call from a member of the CLDF team)By text/SMS
By postBy emailBy phone (a call from a member of the CLDF team)By text/SMS
Don't contact

Your details are safe with us

We'll always store your personal details securely. We'll use them to provide the service that you have requested and communicate with you in the way(s) you have agreed to. Your details may also be used for analysis purposes, to help us provide the best possible service. We won't sell your details to anyone else and we'll only share them with suppliers working on our behalf, or if required to do so by law. For full details please see our Privacy Policy. It's important that you read this policy to understand what information we hold, how we use it and what your rights are.

Breakaway 2019

Breakaway 2019










Parent's Details



I confirm I have discussed this with my parent(s)/carer(s) and have their approval

Your Consultant's Details




I give my permission for you to contact my consultant to confirm I am physically and medically fit to take part in CLDF Breakaway

Tell Us How You Want To Hear From Us

Children’s Liver Disease Foundation would love to keep in touch with you about our vital work. By contacting you in the way you choose, we can be more cost effective in our communications and marketing activity.

What would you like to hear from us about and how?

Please note:
1. We don’t send much post so if you only choose one option email would be best.
2. We’ll update all contact preferences on our systems within 21 days of receiving your request.

By postBy emailBy phone (a call from a member of the CLDF team)By text/SMS
By postBy emailBy phone (a call from a member of the CLDF team)By text/SMS
Don't contact

Your details are safe with us

We'll always store your personal details securely. We'll use them to provide the service that you have requested and communicate with you in the way(s) you have agreed to. Your details may also be used for analysis purposes, to help us provide the best possible service. We won't sell your details to anyone else and we'll only share them with suppliers working on our behalf, or if required to do so by law. For full details please see our Privacy Policy. It's important that you read this policy to understand what information we hold, how we use it and what your rights are.

Wild Camp

Wild Camp

Adult Details

Details of the adult who will be joining us on Wild Camp




Please tick to give us your explicit consent to process your/your child(ren)’s ethnicity details







Child's details







YesNo
Please tick to give us your explicit consent to process your/your child(ren)’s health information


Tell Us How You Want To Hear From Us

Children’s Liver Disease Foundation would love to keep in touch with you about our vital work. By contacting you in the way you choose, we can be more cost effective in our communications and marketing activity.

What would you like to hear about from us and how?

Please note:
1. We don’t send much post so if you only choose one option email would be best.
2. We’ll update all contact preferences on our systems within 21 days of receiving your request.

By postBy emailBy phone (a call from a member of the CLDF team)By text/SMS
By postBy emailBy phone (a call from a member of the CLDF team)By text/SMS
Don't contact

Your details are safe with us

We'll always store your personal details securely. We'll use them to provide the service that you have requested and communicate with you in the way(s) you have agreed to. Your details may also be used for analysis purposes, to help us provide the best possible service. We won't sell your details to anyone else and we'll only share them with suppliers working on our behalf, or if required to do so by law. For full details please see our Privacy Policy. It's important that you read this policy to understand what information we hold, how we use it and what your rights are.

CLDF Weekender 2019

CLDF Weekender 2019






Please tick to give us your explicit consent to process your ethnicity details








YesNo
Please tick to give us your explicit consent to process your health information



YesNo

Parental consent

If under 18 years old at the time of the event, I confirm I have discussed this with my parent(s)/carer(s) and have their approval to attend the CLDF Weekender

Emergency contact details



CLDF Weekender details


Friday eveningSaturday day and eveningSunday morning
NoBoth Friday and SaturdayJust Friday nightJust Saturday night

Parent/carer details

If you will be under 18 years old at the time of the Weekender (10th August 2018) please provide your parent/carer's details:



Tell Us How You Want To Hear From Us

Children’s Liver Disease Foundation would love to keep in touch with you about our vital work. By contacting you in the way you choose, we can be more cost effective in our communications and marketing activity.

What would you like to hear from us about and how?

Please note:
1. We don’t send much post so if you only choose one option email would be best.
2. We’ll update all contact preferences on our systems within 21 days of receiving your request.

By postBy emailBy phone (a call from a member of the CLDF team)By text/SMS
By postBy emailBy phone (a call from a member of the CLDF team)By text/SMS
Don't contact

Your details are safe with us

We'll always store your personal details securely. We'll use them to provide the service that you have requested and communicate with you in the way(s) you have agreed to. Your details may also be used for analysis purposes, to help us provide the best possible service. We won't sell your details to anyone else and we'll only share them with suppliers working on our behalf, or if required to do so by law. For full details please see our Privacy Policy. It's important that you read this policy to understand what information we hold, how we use it and what your rights are.

Family Day event

southampton family day 2019family picnic 2019

Lead Adult




I give permission






Additional adults attending



Children and young people attending






YesNo
YesNo
I give permission







YesNo
YesNo







YesNo
YesNo







YesNo
YesNo



Tell Us How You Want To Hear From Us

Children's Liver Disease Foundation (CLDF) would love to keep in touch with you about our vital work. By contacting you in the way you choose, we can be more cost effective in our communications and marketing activity.

What would you like to hear from us about and how?

I would like to hear about...

By postBy emailBy phone (a call from a member of the CLDF team)By text/SMSAll of the aboveDon't contact
By postBy emailBy phone (a call from a member of the CLDF team)By text/SMSAll of the aboveDon't contact

Your Details Are Safe Wth Us

We'll always store your personal details securely. We'll use them to provide the service(s) that you have requested and communicate with you in the way(s) you have agreed to. Your details may also be used for analysis purposes, to help us provide the best possible service. We won't sell your details to anyone else and we'll only share them with suppliers working on our behalf, or if required to do so by law. For full details please CLICK HERE to view CLDF's Privacy Notice. We suggest that you read this Privacy Notice to understand what information we hold, how we use it and what your rights are.