Annual Registration and Medical Form: 2025/26

Annual Registration and Medical Form: 2025/26
Number of children you are registering:
Specified Activities: Dubsters & 3DUB youth groups meet at St John’s Church, Welling for general meetings (Sunday evening youth groups and mid-week Cell Group). Other activities may include: Transform / Youth Services, Transform Bexley Youth Events, Youth Alpha Events, and Local outings
Parents/Guardians please read and complete the following sections:
- Full name of Child
- Home Address
- Date of Birth
  
  MonthDayYear
  Date
- Medical Information of Child 1
- Name and Address of Doctor
- Telephone
- Medical Conditions, Medication & Dietary Needs
- Does your child have any medical condition, allergy, phobia, or require regular medication (including epi-pen, inhaler, etc.)? If yes, please give details, including any medication they need to carry and any dietary requirements (allergies, intolerances, etc):
- Additional Needs / Support
- Does your child have any additional support needs (e.g., learning, health, wellbeing) or any activity restrictions?If yes, please give details:
- Full name of Child
- Home Address
- Date of Birth
  
  MonthDayYear
  Date
- Medical Information of Child 2
- Name and Address of Doctor (if different from child 1)
- Telephone (if different from child 1)
- Medical Conditions, Medication & Dietary Needs
- Does your child have any medical condition, allergy, phobia, or require regular medication (including epi-pen, inhaler, etc.)? If yes, please give details, including any medication they need to carry and any dietary requirements (allergies, intolerances, etc):
- Additional Needs / Support
- Does your child have any additional support needs (e.g., learning, health, wellbeing) or any activity restrictions?If yes, please give details:
- Full name of Child
- Home Address
- Date of Birth
  
  MonthDayYear
  Date
- Medical Information of Child 3
- Name and Address of Doctor (if different from child 1)
- Telephone (if different from child 1)
- Medical Conditions, Medication & Dietary Needs
- Does your child have any medical condition, allergy, phobia, or require regular medication (including epi-pen, inhaler, etc.)? If yes, please give details, including any medication they need to carry and any dietary requirements (allergies, intolerances, etc):
- Additional Needs / Support
- Does your child have any additional support needs (e.g., learning, health, wellbeing) or any activity restrictions?If yes, please give details:
- Parent/Guardian 1:
- Name
- Address
- Phone Number
- Email
  example@example.com
- Parent/Guardian 2:
- Name
- Address
- Phone Number
- Email
  example@example.com
- Travel & Attendance Consent
- Choose all that apply
- Communication Preferences
- My child may be contacted directly by youth leaders via:
- My child may also be included in a closed WhatsApp group with youth leaders and other young people from the group.
- If yes, child's mobile number
- If yes, child's email
  example@example.com
- Photo & Video Consent (Youth Activities Only)
- Digital Flyers / Promotional Graphics
- I give permission for photos/videos of my child to be used in digital flyers or graphics promoting Dubsters / 3DUB youth groups, published on St John’s official Facebook page, Instagram and website.
- Event Recap Reels/Photos
- I give permission for photos/videos of my child to be included in reel-style recap posts of youth activities, published on St John’s official Facebook page and Instagram. Faces may be blurred if consent is not given.
- WhatsApp – Youth Group
  I understand:
  - The group is for youth activities only.
  - Advanced chat privacy / forwarding restrictions will be used to reduce the risk of content being shared outside the group.
  - Leaders will monitor the group and remind youth not to forward or screenshot content.
- Therefore, I give permission for my child to share and view photos/videos in the official youth WhatsApp groups.
- WhatsApp – Parents Group
- I give permission for my child’s photo/video to be shared with parents in the official youth parents’ WhatsApp group.
- Note: From time to time St John’s may request a photograph of youth for other purposes (e.g., Grapevine magazine or in-church displays). Permission for these will be requested separately when needed.
- Travel & Attendance Consent
- Choose all that apply
- Communication Preferences
- My child may be contacted directly by youth leaders via:
- My child may also be included in a closed WhatsApp group with youth leaders and other young people from the group.
- If yes, child's mobile number
- If yes, child's email
  example@example.com
- Photo & Video Consent (Youth Activities Only)
- Digital Flyers / Promotional Graphics
- I give permission for photos/videos of my child to be used in digital flyers or graphics promoting Dubsters / 3DUB youth groups, published on St John’s official Facebook page, Instagram and website.
- Event Recap Reels/Photos
- I give permission for photos/videos of my child to be included in reel-style recap posts of youth activities, published on St John’s official Facebook page and Instagram. Faces may be blurred if consent is not given.
- WhatsApp – Youth Group
  I understand:
  - The group is for youth activities only.
  - Advanced chat privacy / forwarding restrictions will be used to reduce the risk of content being shared outside the group.
  - Leaders will monitor the group and remind youth not to forward or screenshot content.
- Therefore, I give permission for my child to share and view photos/videos in the official youth WhatsApp groups.
- WhatsApp – Parents Group
- I give permission for my child’s photo/video to be shared with parents in the official youth parents’ WhatsApp group.
- Note: From time to time St John’s may request a photograph of youth for other purposes (e.g., Grapevine magazine or in-church displays). Permission for these will be requested separately when needed.
- Travel & Attendance Consent
- Choose all that apply
- Communication Preferences
- My child may be contacted directly by youth leaders via:
- My child may also be included in a closed WhatsApp group with youth leaders and other young people from the group.
- If yes, child's mobile number
- If yes, child's email
  example@example.com
- Photo & Video Consent (Youth Activities Only)
- Digital Flyers / Promotional Graphics
- I give permission for photos/videos of my child to be used in digital flyers or graphics promoting Dubsters / 3DUB youth groups, published on St John’s official Facebook page, Instagram and website.
- Event Recap Reels/Photos
- I give permission for photos/videos of my child to be included in reel-style recap posts of youth activities, published on St John’s official Facebook page and Instagram. Faces may be blurred if consent is not given.
- WhatsApp – Youth Group
  I understand:
  - The group is for youth activities only.
  - Advanced chat privacy / forwarding restrictions will be used to reduce the risk of content being shared outside the group.
  - Leaders will monitor the group and remind youth not to forward or screenshot content.
- Therefore, I give permission for my child to share and view photos/videos in the official youth WhatsApp groups.
- WhatsApp – Parents Group
- I give permission for my child’s photo/video to be shared with parents in the official youth parents’ WhatsApp group.
- Note: From time to time St John’s may request a photograph of youth for other purposes (e.g., Grapevine magazine or in-church displays). Permission for these will be requested separately when needed.

Annual Registration and Medical Form: 2025/26

Travel & Attendance Consent

Communication Preferences

Photo & Video Consent (Youth Activities Only)

Travel & Attendance Consent

Communication Preferences

Photo & Video Consent (Youth Activities Only)

Travel & Attendance Consent

Communication Preferences

Photo & Video Consent (Youth Activities Only)