Consent | Emmanuel Christian Centre

Emmanuel Christian Centre offers chaplaincy services to children and young people.

Lisa Smith is our Students' Chaplain.

The aim of our chaplaincy service is to support students and young people with pastoral, social, emotional or mental wellbeing needs. Although the support is based on Christian values, it is open to students and young people from all backgrounds regardless of personal faith or beliefs. Where possible, we work with parents, carers, and schools to offer a coordinated approach in the best interests of your child. Not all schools offer a chaplaincy service and in those circumstances we have an independent accountability structure with your child’s needs at the forefront of pastoral input.

To ensure best-practice and professionalism, Lisa has:
- annually reviewed accreditation from CIC International,
- qualifications from the Institute for Children, Youth and Mission,
- cognitive & behavioural therapy (CBT) training, from the University of Reading,
- appropriate safeguarding training and up-to-date DBS checks.

To offer this valuable support we require parent or carer consent. If you agree to your child receiving faith-based chaplaincy support for their wellbeing needs, please complete the consent form below:

I give permission for the student (child) named below to have chaplaincy contact with Lisa Smith at School, College, Emmanuel Christian Centre, or an appropriate public place, or by telephone and messaging applications:

Student's Date of Birth

Day

Month

Year

Home Address

Student's Phone Number:

Student's School or College:

Your Name:

Your Phone Number:

Your Email:

Use this space to tell us of the student's (your child's) medical conditions, medications, behaviours, challenges, allergies, or anything significant or important you think we should know:

Please tick to consent:

I agree to any medical or emergency treatment that my child may need, and I authorise Lisa Smith to give NHS consent if needed.

I agree to the storing and sharing of my child's personal data according to law and best practice.

I agree to information being shared between Lisa Smith and my child's education provider in my child's interest.

Parent or Carer Signature

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