Youth Registration Form

We’re committed to helping keep our youth safe whilst they’re at our different services and activities. To help us ensure that, we ask all parents and carers to fill out a registration form so that we have the information we need. We store this information securely online and make it accessible to our youth leaders so they can use it if it’s needed. It’s up to parents and carers to make sure that the information provided is up to date and accurate.

Name of youth

First Name

Last Name

Address

Phone Number

Date of birth

YYYY

Additional Emergency Contact

Name of an alternative adult to be contacted in case of emergency

Name

First Name

Last Name

Relation to Child

Address

Phone Number

Information and permissions for youth

Any medical conditions, allergies, medication, behavioral issues or additional needs that we need to be aware of:

Please consider the following options for your child and tick those options you consent to

For photos to be taken & used for crafts, marketing & social media

In the event of an accident, for emergency first aid to be carried out, and assistance to be sought if necessary

For food and drink to be provided during sessions d uring social activities

For my child to be driven to/from events with leaders by car/taxi

For my child to make their own way home from sessions/events

Youth Registration 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 Registration Form

SafeguardingPrivacy PolicySt Andrew’s Community Network

Safeguarding
Privacy Policy
St Andrew’s Community Network