EPYC Youth Group registration form
  • EPYC SUNDAY Registration Form

    EPYC SUNDAY Registration Form

  • Young Person Information

  • Date of Birth*
     - -
  • Parent/Carer Information

  • Format: 00000000000.
  • Emergency Contact Information

  • Please provide details of a second contact that we can reach in an emergency if we are unable to get a hold of you

  • Format: 00000000000.
  • Other Information

  • Does the young person have any allergies, chronic illness, or medical condition? If Yes, please describe below.*
  • Permissions

  • Travel Home

  • Does your child have permission to walk home on their own at the end of the session?*
  • Photographs 

  • I understand that authorised photographs or videos may be taken during the club. I give permission for images of my child to be used for feedback from or publicity of the group.*
  • Data Protection

  • Eaglesham Parish Church promises to look after your data in line with General Data Protection Regulation (GDPR)

  • Do you wish to receive information through email about other youth opportunities in the future?*
  • Confirmation 

  • BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS THE ORIGINAL MANUAL PAPER SIGNATURE.

    (if using a computer that does not have a touch screen use the left mouse and cursor to sign)

  • Date Signed*
     - -
  • Should be Empty: