Please fill the consent form on line

or if you prefer

download the consent form
and send it back to Clotilde

at Ealing Abbey
Pray for our Teens
2 Marchwood Crescent
London W5 2DZ

or by mail

    - I hereby consent to Pray for our Teens using the above information for their stated purpose. In addition, I hereby consent to members of Pray for our Teens visiting me should I be admitted to hospital. I further confirm that I will keep confidential any information about any individual that I receive from Pray for our Teens. I understand that Pray for our Teens will comply with the provisions of the Data Protection Act in holding this information.