This form is to be signed by a parent/guardian and school of any child under 18 who is attending an event run by the Global Citizenship team. This must be completed and signed by the parent/guardian.

Important information

Please note, snacks may be provided but lunch will not. Also...

Please contact Áine Keating, Schools Programme Officer, if you have any schools-related questions on schools@concern.net.
Please contact Amelia Deehan, NI Schools and Debates Officer, if you have any questions about the Onjali Q Rauf Event on amelia.deehan@concern.net.
Please contact debates@concern.net for any other questions related to the debate events / programme.

STUDENT EVENT: Student Consent form

1. Young person's details:

Student name (required)

School name (required)

Please tick to indicate which event the young person is attending: (required)

Aurora: A Modern Myth - 24th October 2024

DUBLIN World Food Day Workshop - 24th October 2024

2. Parent or guardian's details:

Name of parent/guardian (required)

Emergency contact number (required)

Contact email address (optional)

3. Information we need to know

We may provide snacks during the event. Are there any allergies or dietary needs that we need to be aware of? (required)

Are there any medical conditions that we need to be aware of? (required)

Are there any additional education needs that we need to be aware of? (required)

Are there any access requirements that we need to put in place? (required)

Core Purpose (please tick to indicate consent): (required)

I confirm that the student named above has permission to the indicated event(s) above

I confirm that I give permission for Concern to use photographs/video footage of my child taken at the event(s) on our website, social media or schools resources produced by the Global Citizenship team

I give permission for the student named above to receive Concern Active’s Youth E-Newsletter

I confirm that the student named above has permission to leave the event for lunch

If yes, please provide student email for newsletter: (optional)

For the young person to complete

I agree to: (required)

Attend and take part in the indicated event(s)

Concern keeping a record of this form so they have the information they need to keep me safe during the activity

Receiving the Concern Youth E-Newsletter

Being filmed or photographed during the activity. I understand that the photographs or film might be used to tell other people about what Concern does. (We will always ask on the day before we take photographs so you can decline then)

Note: If I don’t agree to this Concern will not use any images of me.

Parent/guardian's signature (required)

Concern processes this personal data for the specific purposes described and based on the student’s and parent’s/guardian’s consent which can be withdrawn at any time without affecting Concern’s use prior to that withdrawal. For more information on Concern’s commitment to data protection, your rights and contact information, please visit our privacy policy at www.concern.net/about/privacy

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Concern Worldwide, a company limited by guarantee, Registered Company Number: 39647, Registered Revenue Number: CHY 5745,
Registered Charity Number: 20009090, Registered in Ireland, Registered address is 52–55 Lower Camden Street, Dublin 2. Eircode: D02 H425.
Phone: +353 1 417 7700