Youth Arcade Warehouse Trip

Energize Arcade Warehouse Trip - 12 Feb 2025

Thank you for encouraging your child to take part in Energize! We are glad they are getting involved. To ensure we follow your wishes and keep your child safe, this form asks for some key details and information. Thanks in advance!
Please complete one form per child to ensure our records are accurate. Thank you.
Child Details
Child's Name*

First NameLast Name
Age of Child*
Child must be between 11-18 years old
Child's School*
Does your child have any medical conditions, special needs or allergies we need to be aware of? How can we help accommodate these?*
Parent/Guardian Details
Parent / Guardian Name*

First NameLast Name
Relationship to the Child*
I can confirm I am the parent / guardian of this child and I am over the age of 18*

Yes
Parent / Guardian Contact Number*
Please enter a valid phone number.
Parent / Guardian Email*
example@example.com
Parent / Guardian Address*

Street Address

Street Address Line 2

CityState / Province

Post code
Acts Trust takes your privacy seriously, we will only use your information to provide our services. We also like to send information about our projects, events, and volunteering opportunities. If you agree to be contacted in this way, via any of the following methods, please tick the relevant boxes.

Email (our preferred method; it's the most environmentally friendly)PhoneSMS / Text messagePost

Energize Arcade Warehouse Trip - 12 Feb 2025