I agree to this completed form being shared with Helium Arts and for my child to be referred to the Helium Arts’ Creative Health Programme.

I agree for Helium Arts to contact my child's patient support group liaison, consultant or key healthcare worker for the purpose of verifying my child's suitability for the Helium Arts Creative Health Programme

I agree to the Terms of Service and consent to the following processing of my personal data as described in the Data Protection Policy and Cookie Policy and I consent to the processing of my child’s personal data, in order to provide the Helium Art’s services.

I consent to receiving direct marketing emails and news about Helium Art’s latest projects supporting children & teenagers with long-term medical conditions in hospital and community settings across Ireland, its various public events, fundraising activities & campaigns and any other news that is relevant to Helium Art’s development.

I agree for a Helium Arts’ staff member to contact me via phone and SMS ) in relation to my child’s registration with the Helium Arts Creative Health Programme.

I agree for a Helium Arts’ staff member to contact me via email in relation to my child’s registration with the Helium Arts Creative Health Programme.