YCF Membership Youth Consent Form

YAHWEH CHRISTIAN FELLOWSHIP

YCF YOUTH CONSENT FORM | MEMBERSHIP FORM ( aged 11-18 )
Please Note: We meet every 2nd & 4th Sunday of each month

Please fill out child or young person’s details
Child or young person’s details*

First NameLast Name
Address*

Street Address

Street Address Line 2

Country

Post CodeCountry
Date of Birth *

DayMonthYear
Gender*
Email Address*
Phone Number*
Please enter a valid phone number.
Young person’s age?*
Any Learning Difficulties?*

YESNO
A brief explanation of Learning Difficulties?
Do we need to know about any medical conditions or allergies? (If yes, please provide details of the condition(s) and any medication needed).
(Please use a separate sheet of paper if required)
Do you consent of having your young person filmed or in photos?*

FilmedYes to bothPhotoNo to both
Does your young person have any siblings here at church? If Yes, please list their name(s)
Additional Information
Parent / Guardian Details

Please fill out this section with your details
Parent / Guardian Name*

First NameLast Name
Home Address*

Street Address

Street Address Line 2

TownCountry

Post CodeCountry
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Name or person(s) who will be guardian for your child when you are not at church?*

First NameLast Name
I agree for my child to participate in age-appropriate activities at Yahweh Christian Fellowship and agree to notify us of any changes that would be important to the well-being of your child.

Yes
Signature

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YAHWEH CHRISTIAN FELLOWSHIP

Please Note: We meet every 2nd & 4th Sunday of each month

Parent / Guardian Details