Youth Group Consent Form

Youth Form Registration

 

 

 

 

 

 

 

Parental application form for Young Person attending Holy Trinity Youth Group, Cafe and Youth Outings:
(All personal details regarding addresses, telelphone numbers, D.O.B and 2 emergency contact details are mandatory)

Your Details:

Name of Person Completing Form:

Your relationship to the child:

Contact Email Address:

Contact Phone Number:

Child's Details:

Child's Full Name :

Child's full address:

Child's Date of Birth

Family doctor name

Family doctor surgery address

Family doctor telephone

2nd Emergency Contact Details:

Full Name: :

Contact Phone Number:

Relationship to Child: :

Consents:

Holy Trinity Youth meets on Sunday afternoons between 4:30-6pm (see timetable) and is open to young people in year 6 or above. I also give permission for my child to take part in outings arranged by Holy Trinity Youth Group:

I give Holy Trinity permission to publish photos, videos taken on trips and at youth group of my child on the appropriate youth pages on the Holy Trinity website:

Date:


Any Additional Information you would like to tell us (medical, disabilities, other siblings etc)?

The information you have provided above is important for the safety of your child and their leaders. This application will be sent directly to a Youth Group Leader. The information will not be shared or distributed outside of Holy Trinity Church. By ticking this box, you are confirming that you are the parent or guardian of the young person of this application and the information above is correct to the best of your knowledge: