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DISLEY PAROCHIAL CHURCH COUNCIL (“DISLEY PCC”)
PARISH OF ST.MARY THE VIRGIN, DISLEY WITH ST.JOHN THE DIVINE,
FURNESS VALE (“PARISH”)
DATA CONSENT FORM
Your privacy is important to us, and we want to communicate with parishioners, volunteers,
church members and employees in a way which has their consent, and which is in line with
UK law on data protection. Therefore, we need your consent to how we contact you. Please
read the Notes at the end of this Form and fill in the contact details you want us to use to
communicate with you:
Name _______________________________________________________________
Address: _____________________________________________________________
_____________________________________________________________
Email Address: ________________________________________________________
Phone Number: _______________________________________________________
(If Applicable) Name of Minor child/children_________________________________
By signing this form you are confirming for yourself and, if applicable, your minor
child/children, that you are consenting to Disley PCC holding and processing yours and
your child/children’s personal data for the following purposes (please tick the boxes
where you grant consent):-
I consent to Disley PCC contacting me by  post  phone or email.
☐ To keep me informed about news, events, activities, initiatives and services in the Parish
and to enable Disley PCC to provide religious services, pastoral care and other voluntary
services to me or for my benefit and/or to or for the benefit of the public in the Parish and
to process my Gift Aid applications and donations;
☐To share my contact details with the Deanery of Chadkirk, the Diocese of Chester and
Disley Churches Together so they can keep me informed about news, events, activities,
initiatives and services that will be occurring in the Deanery, the Diocese and the Parish and
which are relevant to me.
Signed: ______________________________ Dated: _______________________________
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NOTES: 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 “Data Privacy Notice” which is available from the Parish website
(disley-parish.org.uk) or from the Data Protection Officer (details below).
You can withdraw or change your consent at any time by contacting the Data Protection
Officer- Mrs Jenifer Kidd of 12 Hillside Close, Disley SK12 2DL.
Email:jennythekidd@hotmail.com
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.
Disley PCC is a charitable organisation and the governing body of the Parish which is part
of the Church of England. The Parish is also part of the Deanery of Chadkirk and the
Diocese of Chester. It is also a member of Disley Churches Together which is an informal
ecumenical grouping of the Church of England, Baptist, Methodist and Roman Catholic
Churches in the Parish.