I have read the privacy notice detailing the use of personal data *

I understand that WGC will retain personal information as detailed in the Privacy Notice, and that I am entitled to it *

I understand that WGC will provide information to the referring agency or organisation regarding the sessions completed, and I consent *

I consent to WGC staff to administer basic medical treatment to deal with minor injuries, and that should it become necessary to attend a hospital then I will attend or call the emergency services. *

I understand the work of White Gold Cornwall and give permission for the above-named person to work with and be transported by WGC workers or its representatives. I understand that sessions may involve participation in activities, visits and sometimes supervised work on community projects. *

I have given WGC all information that I hold in relation to any medical conditions, allergies or special needs whilst working with the named young person. *

I have given WGC any information relating to religious or cultural beliefs or practices that I feel they need to be aware of. *

I agree to ensure that the above-named person is available at the agreed days and times for the appointments. Should it be necessary to cancel an appointment, I will ensure that the appointed worker or the office is notified as soon as possible *

I agree to photos or video recordings to be taken on WGC work phone to be shared with the above-named person and with parent/carer and referrer *