Custom Forms | GDPR Consent Form

Your privacy is important to us and we would like to communicate with you about the church and its activities. To do so we need your consent. Please fill in your name and address and other contact information below and confirm your consent by ticking the boxes below.
You can find out more about how we use your personal data by reading our privacy notice which you can find here: http://www.leeds.anglican.org/privacy-notice

Your Details

Name *

If you are aged 13 or under your parent or guardian should fill in their details below to confirm their consent

First name *

Please enter a First name

Middle name(s)

Surname *

Please enter Surname

Address

Address 1

Please enter some text

Address 2

Please enter some text

Address 3

Please enter some text

Town

Please enter some text

County

Please enter some text

Postcode

Please enter some text

Country

Please enter some text

Please enter a valid email

Phone Number

Please enter some text

Mobile Number

Please enter some text

Please confirm your consent to one or more of the following

Newsletters and other communications

We may contact you to keep you informed about what is going on in the local or neighbouring parishes, other churches and the work of the Diocese including news, events, meetings, clubs, groups and activities. These communications may also sometimes appear on our website, the Diocese website or in printed or electronic form (including social media).

Please select at least one of the options

Activities and groups

We may contact you about groups and activities you may be interested in participating in. We sometimes work with similar groups in other churches within or outside the Diocese or with the Diocese itself. Occasionally names and photos may appear in newsletters, bulletins or on websites, or social media.

Please select at least one of the options

Keeping in touch

Yes please, I would like to receive communications by email

Yes please, I would like to receive communications by telephone

Yes please, I would like to receive communications by mobile phone including text message

Yes please, I would like to receive communications by social media

Yes please, I would like to receive communications by post

Please select at least one of the options

Signature

Signature *

Please sign this form by typing your full name

Please enter some text

Date *

Please provide the date on which you completed this form

Please enter a valid date

You can grant consent to all the purposes; one of the purposes or none of the purposes. Where you do not grant consent we will not be able to use your personal data; (so for example we may not be able to let you know about forthcoming services and events); except in certain limited situations, such as where required to do so by law or protect members of the public from serious harm. You can find out more about how we use your data from our “Privacy Notice” which is available from our website or from the Diocese office or at http://www.leeds.anglican.org/privacy-notice You can withdraw or change your consent at any time by contacting the Diocese office.

GDPR Consent Form

Your Details

Please confirm your consent to one or more of the following

Keeping in touch

Signature

Just sending that for you!

Your selections

Select Churches

GDPR Consent Form

Your Details

Please confirm your consent to one or more of the following

Keeping in touch

Signature

Help Me

Some People Were Missed

Just sending that for you!

Your selections

Select Churches