Youth Programmes Sign up 2025-26

Youth Programmes Sign Up 2025-26

This is a consent form for youth events at Ballysally Presbyterian Church from Sept 2025-June 2026. It is for young people going into Y8-14 in Sept 2025.
Young Person's Name*

First NameLast Name
Young person's date of birth*

DayMonthYear
School year that young person is in Sept 25-June 26*
Young person's address*

Street Address

Town

Post Code
Parent/ Carer's Name*

First NameLast Name
Relationship to young person*
Parent/ Carer's phone number*
undefinedFormat: +440000000000.
Parent/ Carer's email*
example@example.com
Second contact's name*

First NameLast Name
Second contact's phone number*
undefinedFormat: +440000000000.
Relationship to young person*
While your young person is at our events they are under our care and protection, but there are often occasions when young people ask to leave our events early. In the event that your young person asks to leave early, we can send out a text message informing you that they have left the Church grounds and are no longer under our care. Please indicate below if you would like to be informed if your young person leaves an event early.*

Yes, please send me a text message if my young person leaves an event earlyNo, don't send me a text message if my young person leaves an event early.
Doctor's Details (Name and health centre)*
Any relevant medical details
Please indicate any medical conditions, medications being taken, or allergies that are relevant to your young person.
Please include details of any additional needs your young person has, or any extra support required to help us care for them well.
During the time your young person will spend with us, photographs and videos may be taken for general church purposes and use on social media. Please indicate below if you give permission for photographs and videos to be taken of your young person.*

Yes, photos and videos may be taken of my young personNo, photos and videos may not be taken of my young person
I have filled out the information on this consent form to the best of my ability, and give consent for my young person to participate in youth programmes at Ballysally Presbyterian Church during the 2025-26 school year.
Please sign name above
Should be Empty:

Youth Programmes Sign Up 2025-26