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Permission to Ring



Church - Parish Church of St Mary the Virgin, Swanage.

Group - St Mary’s Bellringers

Full name of child or young person

.................................................................................

Date of birth ................................

Address...................................................................................

...................................................................................

...................................................................................

Name of parent or carer ..............................................

Telephone number .........................................

Mobile ......................................

Are there any medical (eg diabetes, epilepsy) or dietary concerns that we should know about your child? (This will not preclude your child from ringing, but notification now will help in the event of a medical problem.) Please give any relevant details below or state “none”:

.......................................................................................................................................
.......................................................................................................................................

I give my permission for the above-named child/young person to take part in the normal activities of this group.

I understand what is involved and I am aware of the hazards present.

I understand that separate permission will be sought for certain activities and outings lasting longer than the normal meeting times of the group.


Signature of parent or carer ..............................................

Name of additional contact ...............................................

Telephone (for additional contact)...............................................

When a young person is being taught to ring at St Mary’s, Swanage the form below needs to be completed and handed to the Tower Captain:

Prepared by the Education Committee of CCBR - May 2002