Draft Data Consent Form

Concord Monthly Meeting of the Religious Society of Friends, also known as Concord (NH) Friends Meeting

Please use a separate form for each adult.

Quakers seek to be clear and transparent in the work that we do and in our recording and use of your personal information.  In order to nurture the life of our meeting we would like to collect and use personal data.  For some of this data and our use of it, we need your explicit consent.  Please read the notes below, indicate your agreement where applicable and return the form to the Friend whose contact details are given at the end of this form.

We work to safeguard the information that we use and we follow New England Yearly Meeting’s Data Protection policy.

If you are a Member, we will keep your contact information and basic membership information.  This information will be seen and used by the appropriate officers and committee members of the meeting only.  [This counts as “legitimate interests” under the European General Data Protection Regulation.]

If you are an Attender, we would like to keep your contact information. This information will be seen and used by the appropriate officers and committee members of the meeting only.

I agree to this yes/no

Young people I am a responsible adult for the young person/people under 18 listed below

Name ……………………………………………Date of birth…………………………

Name ……………………………………………Date of birth…………………………

Name ……………………………………………Date of birth…………………………

Name ……………………………………………Date of birth…………………………

Name ……………………………………………Date of birth…………………………

Name ……………………………………………Date of birth…………………………

and I give permission for the Meeting to keep the following information on them:

Names and addresses yes/no

Dates of birth yes/no

Other information (Meeting to specify, e.g., information on allergies for events)

…………………………………………………………………………………yes/no

…………………………………………………………………………………yes/no

…………………………………………………………………………………yes/no

…………………………………………………………………………………yes/no

I give permission for their names to be included in our local contact lists yes/no

(We will not include dates of birth/e-mail addresses or mobile phone numbers for young people under 18 in our published contact lists)

Contact information may be shared:

For printing in our local contact lists*……………………………yes/no

With our Yearly Meeting contact database**…………………………yes/no

With other Quaker bodies (state which] …………………………………yes/no

*[State where the contact lists go, e.g., one is given to each Friend or family in the list]

**members’ names are always shared with Yearly Meeting.

Name:……………………………………………………

Address:…………………………………………………

E-mail:……………………………………………………

Phone numbers:……………………………………………………

Date of birth (month & day only):…………………………

To help keep you up to date with the activities of the meeting, we will send you e-mails or you can access our website at https://ConcordFriendsMeeting.org [1].  If you do not have access to Internet, we will print and mail current activities of the Meeting.  We consider keeping members informed in this way as a “legitimate interest” under the European General Data Protection Regulation.  However, if you don’t want to receive a copy of current Meeting activities, please let the Communications Assistant [2] know.  We also send the following newsletters/mailings to members and interested attenders, please indicate which you wish to receive:

………………………………………………………………………………yes/no

………………………………………………………………………………yes/no

………………………………………………………………………………yes/no

I consent to the use of this information as indicated, until such time as I submit a revised form or contact you about changes I wish to be made to this form.

Signature……………………………………………………Date…………………………

We will keep this information for as long as it is remains correct, or until you ask us to no longer keep it.

Please return this form to:

Clerk, Concord Monthly Meeting of Friends (Quakers)

Concord Friends Meeting House,

11 Oxbow Pond Road,

Canterbury, NH  03224-2043  USA

Clerk [at] ConcordFriendsMeeting [dot] org [3]

Please contact the Concord Friends Meeting Clerk if you wish to change any information/permissions.

If we need to obtain other information or use the data we already have for other purposes, we will ask your permission to do this when the time comes.

[Agreed at Meeting for Worship with attention to Business for mm Month yyyy, Minute yyyy.mm.xx.]