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

at clotilde@prayforourteens.org

- I hereby consent to Pray for our Teens using the above information for their stated purpose. In addition, I understand that Pray for our Teens will provide me with the contact details of an elderly person for my attention and I hereby 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 my information.