Youth Registration Form
Young Person's Full Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
School Year
Year 7
Year 8
Year 9
Year 10
Year 11
Year 12
Year 13
School
Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Young Person's Mobile Number
Young Person's Email
example@example.com
Parent/Guardian's Name
First Name
Last Name
Parent's Contact Number
Parent/Guardian's Email
example@example.com
Extra Info/Medical etc
Young Person, Please Tick All You Agree with:
I can be contacted via messaging services inline with Ivy Church’s child protection policy.
I agree that you can process my data for the purposes that the Privacy Policy explains.
Young Person's Signature:
Parent/Guardian, Please tick all you agree with:
My child can be transported to and from Ivy Youth events by a member of the Ivy Youth team
My child can have their photo taken and used inline with Ivy Church's child protection policy
My child can be contacted via messaging services inline with Ivy Church’s child protection policy.
Type option 4
Parent/ Guardian Signature:
Today's Date:
-
Month
-
Day
Year
Date
Submit
Should be Empty: