Child Consent

To sign up to ChILD Patient Network, we require consent to contact you.

Use this form if the young person is 15 and under, as this requires parental consent.

If you are 16 and above, then use the “Young Adult” consent form, as parental consent is not normally required. However, you may wish to check with your parent beforehand.

Disclaimer – Data Collection Limitations

This consent form is intended only for individuals based in the UK and EU. We are unable to accept submissions from individuals in the United States due to regulatory requirements, including COPPA (Children’s Online Privacy Protection Act).

By completing this form, you confirm that:
✅ You are residing in the UK or an EU country.
✅ You understand that your data will be processed in compliance with UK GDPR and EU GDPR.

If you are located outside the UK or EU, please do not submit this form. If you have any questions about consent requirements, please contact us at connect@childild.org before proceeding

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Young Person Name *

First

Last

Young Person Age *

Parent/Carer Name *

First

Last

ChILD Condition: *

Email *

Young person: I consent to be contacted for chILD PPE *Yes, I agreeNo, I do not agree

be Condition: Age

Parent/Carer: I consent for my child to be contacted for chILD PPE: *Yes, I agreeNo, I do not agree

Newsletter

• Yes, sign me up to the newsletter

GDPR Agreement *

• I consent to having this website store my submitted information so they can respond to my inquiry.

Submit