Evangelical Church of Bermuda - Missionary Information and Consent Form

Missionary Information and Consent Form

Your privacy is important to us, and we want to communicate with you in a way which has your consent, and which is in line with Bermuda’s Personal Information Protection Act 2016. To fully understand your rights with respect to your Personal Information and the purposes for which the Evangelical Church of Bermuda (the "Church") use that information, please refer to the Personal Information Privacy Notice (“Privacy Notice”) sent via email or at https://evangelicalchurchbermuda.com/ecb-privacy-policy-notice. Please read the Privacy Notice carefully.

By signing this form, you are confirming that you have read the Privacy Notice and that you are consenting to the Church holding and processing your Personal Information in accordance with the Privacy Notice and this consent form. Please tick the boxes where you are happy to grant consent:

First Name

Last Name

Birthdate

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Phone Number

Cell Phone Number

Email

Wedding Anniversary

Spouse

First Name

Last Name

Birthdate

Dependents that are living with you (if applicable):

First Name

Last Name

Birthdate

Gender

First Name

Last Name

Birthdate

Gender

First Name

Last Name

Birthdate

Gender

First Name

Last Name

Birthdate

Gender

CONSENT FORM

Communications:

I consent to the Church contacting me by (check all that apply):

Post/Mail

Phone

Email

I consent to the Church contacting me to (check all that apply):

inform me of news, events, activities and services at ECB;.

send celebratory cards to me and/or my dependants.

request updates about my ministry.

Publications:

I consent to the publication of information about me, my spouse, and/or my dependants, as applicable, on/in the (tick all that apply):

Sunday bulletin

prayer prompter (any prayer requests are added here)

bulletin board

monthly calendar

all of which are available to Church attenders, including the following information (please select all that apply; if not selected then this information will NOT be published):

FIRST NAME

LAST NAME

PHOTO

EMAIL ADDRESS/PHONE NUMBER

MAILING ADDRESS

BIRTHDATE

ANNIVERSARY DATE

MINISTRY UPDATES

Information Retention:

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 Information for those purposes, except in certain limited situations, such as where required to do so by law or to protect persons from harm.

If you are executing this consent form on behalf of a spouse, you confirm that you have their consent to disclose their personal information as indicated above.

If you do grant consent, please note that you can withdraw your consent to all or any one of the above purposes at any time by contacting the Church Office at office@ecb.bm or calling 441-236-2294. Please note that communication(s) and/or publishing of your Personal Information will cease once you have withdrawn consent, but this will not affect any Personal Information that has already been processed prior to this point.

Signature

Todays Date

Missionary Information and Consent Form

Spouse

Dependents that are living with you (if applicable):

CONSENT FORM

Communications:

Publications:

Information Retention:

Service Times

Contact Info

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