SUMMER '22 Sign up and consent form

SUMMER '22 Sign up and consent form

If you're parent/guardian for a person under 18, please fill out with your child's information. If you're over 18 years old, please input your own information. The information requested on this form can be completed by a carer, but only those with parental responsibility can sign the consent (NB this may or may/not include a foster carer)
Dear all,

We're very excited for SUMMER '22 week which will take place from Sunday, 24th July to Sunday, 31st July at:
- Restore Community Church, Loughton
- New River Baptist Church, Islington
- The Well Community Church, Camberwell
- 'East & West' with the team going to the Isle of Dogs (Sunday, 24th -Tuesday, 26th) and Hounslow (Wednesday, 27th-Sunday, 31st)
This project is facilited by iNet and REACH London.

Please also let us know your tetanus jab status as we plan to be outdoors working with tools. There is an option below for you to tick whether if you've received your final dose at age 14 or not. For more information on this, click here.

COSTS/DONATION

We welcome a contribution of £20 towards the costs of a SUMMER '22 T-shirt, training, accommodation and food. But please do not let that stop you from joining us! We value your participation a lot more than this contribution. However, if you are able to contribute to this project, click here. Or copy and paste this link on your browser: https://www.stewardship.org.uk/pages/summer22

Got questions? Contact Rick on summerteams@inet-trust.org
Please submit or return this form to us via summerteams@inet-trust.org

If you are signing this in paper, please scan/take a photo of it and return it to us on summerteams@inet-trust.org. If you have any questions on how to fill out this form, please also contact us.
Full Name

First NameLast Name
Date of birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Parent/guardian or Next Of Kin Full Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: 00000000000.
Email
example@example.com
Home Address

Street Address

Street Address Line 2

City

Postal / Zip Code
Emergency Contact Details

First NameLast Name
Emergency Contact Details
Please enter a valid phone number.Format: 00000000000.
Which church are you part of and who is your church leader/youth leader?
Are you involved in any activities in church? If so, please write them below.
Example: youth work, children's work, worship/music team, media/AV team...
What would you like to learn from SUMMER '22?
What other things would you like to learn from or experience in SUMMER '22?
Tick your two preferred projects to be part of:
What's your T-shirt size?
I give permission for photos/video recordings taken of me to be used:
Please list any dietary requirements you have:
Please detail any allergies and/or medical conditions or disability that may be affected by the SUMMER '22 activities of which we should be aware:
Please detail any medication you will need to take, list medication and frequency below:
Have you had the final dose of the tetanus jab?
MEDICAL CONSENT FORM

Whenever medical advice or treatment is needed, the assistance of onsite medical teams, a GP or A&E Department should be sought. The Children Act 1989 allows a doctor to provide any necessary treatment by doing ‘whatever is reasonable in all the circumstances of the case for the purpose of safeguarding or promoting the child’s welfare. However, the parent/carer should be contacted and advised of the situation as soon as possible. It is important, however, that we obtain in advance from parents/carers:

1. All necessary information concerning the child/young person’s health, allergies, medication etc

2. Written agreement as follows:

I understand:
- My child will receive medication as instructed before or during the event
- Every effort will be made to contact me as soon as possible should my child become ill or have an accident
- My child will be given medical/dental treatment as necessary
I will need help administering medication
In an emergency and/or my parent/next of kin/emergency contact is not contactable, I am willing to receive necessary hospital or dental treatment including an anaesthetic:
I have read and agreed with the parent/guardian information above and I give permission for my young person to attend SUMMER '22 training events and week:

OR

I am over the age of 18, I have read the information above and I sign below to confirm my agreement:
Signature
Should be Empty:

SUMMER '22 Sign up and consent form

Please submit or return this form to us via summerteams@inet-trust.org