Youth Permission Form

Location: Newsham Park playground. Drop-off and pickup is from the same spot.

Date & time: 14th July 7:00 - 8:15

Leaders attending: Dan Rogers, Sefa Ahiaku, Andy Pollard.

Plan for the session: We’ll be playing games, thinking about the gifts of the Spirit with Andy Pollard and getting a Costa. Church are paying for the cost so there’s no need to bring money.

Please make sure that your child wears appropriate clothing for the weather.

All youth attending must have a completed form submitted by the day of the activity. Details on this form will be held securely and will only be shared with the team members volunteers who need this information in order to meet the specific needs of your child.

Youth Permission Form

Child's Name

First Name

Last Name

Parent/Carer's Name

First Name

Last Name

Email address

Mobile Number

Alternative emergency contact

Please include their name, contact number and relationship to the child

Are there any medical conditions, allergies, medication behavioural issues or needs that we need to be aware of?

I give consent for:

My child to be given emergency first aid or assistance sought in the event of an accident as required

For photo's of my child to be taken as part of the session and used on social media

How will your child be travelling to and from the session?

Youth Permission Form

Jesus has a purpose for our world; for His love to change everything.
He accomplishes it as we love Him, ourselves and our community.

Safeguarding
Privacy Policy
St Andrew’s Community Network

Youth Permission Form

SafeguardingPrivacy PolicySt Andrew’s Community Network

Safeguarding
Privacy Policy
St Andrew’s Community Network