Consent Form

The Parochial Church Council of the Ecclesiastical Parish of St Anne’s Baslow, (Baslow PCC)

Your privacy is important to us, and we want to communicate with church members in a way which has their consent, and which is in line with a change in the law in the UK on data protection. As a result of this change in the law, we now need your consent to how we contact you.

Please fill in the contact details you want us to use to communicate with you. 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 to 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 on this website or from the Parish Office. You can withdraw or change your consent at any time by contacting the Parish Manager at St Lawrence Church, Eyam, The Church Centre, Church Street, Eyam, Hope Valley, S32 5AH admin@eyamchurch.org. Please note that all processing of your personal data will cease once you have withdrawn consent, other than where this is required by law, but this will not affect any personal data that has already been processed prior to this point.


Name:*
Address:*
Post Code:*
Email address:
Phone number:
By completing this form I confirm that I am consenting to Baslow PCC holding and processing my personal data for the following purposes:*
I give my consent to the following:
I do not give my consent
I consent to the church contacting me by:
Post
Phone
Email
To keep me informed about news, events, activities and services at St Anne’s Baslow (note you can unsubscribe from the church e-bulletin at any time):
Yes
No
To including my details in the ‘Church Directory’ which is circulated to Church Members:
Yes
No
To including my details for the purposes of fundraising for Baslow PCC, and the charities which we support:
Yes
No
To share my contact details with the Diocese of Derby so they can keep me informed about news, events, activities and services that will be occurring in the diocese and which are directly relevant to the role I am undertaking:
Yes
No
Please enter the verification number on the right:*
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* Required Fields