Contact Details Name Phone Mobile Email Address Event Details For diary planning purposes please send invitations as far in advance of the event as possible. Description of event Date of event Day12345678910111213141516171819202122232425262728293031 Day MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Year202420252026 Year Start time of event Hour123456789101112 Hour :Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 Minute am pm Approximate end time Hour123456789101112 Hour :Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 Minute am pm Use of Images Your privacy is important to us so if we take a photo or you provide us with one, we need your consent to use it in internal & external publications, online and on social media. We will store the image securely for five years. Please indicate below if you are happy to provide this consent: Please select YesNo If applicable - As parent/carer I am happy to provide consent for my child's photograph to be used: Please select YesNo If applicable - Our community group has all publicity permissions in place: Please select YesNo Is there any information related to the publication of photographs we should know about? (this information will remain private) We will use your data to provide the following service: Elective Representative. For full details of how we will use your data please visit the Elected Representative Privacy Statement Submit
