ICF Consent and Feedback Form

Camden Giving would like to have your consent to take part in the ICF/Keir Starmer meeting, as well as provide input on the meetings format for delivery, in order to move forward with a plan that works for everyone. Camden Giving want to reassure you that your health, wellbeing and safety is our priority, and want to be led by you on how to carryout the meeting, as well as any offer us any recommendations on accessibility requirements.

We’d all deeply appreciate it if you could spend a few minutes filling out the information below by 23.59pm on Friday 18th June 2021 so that we can begin planning the final stages.

Name

First Name

Last Name

Do you consent to taking part in the ICF/Keir Stamer meeting at the Camden Peoples Theatre

Yes

No

If no, please elaborate on the reason for your choice and include any concerns or implications we should consider.

Are there any other concerns or comments in regards to interacting in this meeting?

Do you have any additional needs and require assistance to fully participate in the meeting?

If yes, please tell us what support or information would you need? We understand some of you have already disclosed this information, if that is the case simply state 'NR'.