I give consent for my child (Name) *

First Name

Last Name

To take part in the ‘TCS Workshop’ programme with Transform Counselling Services C.I.C. Please tick which of the following apply: *

Programme offered in partnership with organisation

Programme offered as an independent services as requested by parent/carer

Name (person completing the form) *

First Name

Last Name

Date *

MM

DD

YYYY

TCS have my permission to photograph and/or use my child’s optional testimonial/feedback, which will be anonymous, as promotional and evaluative material and for this purpose only. 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)

I give consent my consent for testimonial/feedback

I give my consent to photograph