Parent/Carer Consent Form for Counselling (Under 16)I give consent for my child Name * First Name Last Name DOB * MM DD YYYY To take part in counselling sessions offered by Transform Counselling Services C.I.C. * Please tick which of the following apply: Sessions offered in partnership with organisation Sessions offered as an independent service as requested by Parent / Carer TCS have my permission to use my child’s optional testimonial, which will be anonymous, as promotional and evaluative material and for this purpose only. TCS also have my permission to use my child’s process of counselling as an anonymous case study for the development of therapists towards their professional training and accreditations where appropriate. All data collected by TCS will be managed in line with the Data Proctection Act (1998) and all other relevant legislation (As a community interest company we value feedback and promotional materials which we use to secure future funding opportunities, publicise and monitor our services) * Consent for testimonial Yes No * Consent for case study Yes No Name * First Name Last Name Electronic Signature * Date * MM DD YYYY You have successfully submitted your consent form.
