Youth Leader Info & Group Registration Form
This registers the Youth Leaders and Church Group to attend Abide North on Friday 5th December 2025 at St Thomas' Church, Lancaster. On the day you will need to provide a list of the young people you have brought to Abide North (Full name & Age) and any other youth leaders that attend with you (including that you have seen a current DBS certificate)
Full Name
*
Church Name & Town
*
Church Name
Town
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Role
*
Please Select
Youth Leader
Church Leader
Children's Leader
Parent
Other
I confirm that I am over the age of 18
*
Yes
Please upload a photo or scan of your current & valid DBS Certificate
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Do you have any dietary requirements, allergies and/or additional needs? If yes, please give details below.
*
I understand that at Abide works on a 1:8 leader to young people ratio and therefore to ensure I have enough leaders to accompany my group. Also I understand that I must have consent for all the young people to attend Abide with me, either through a specific form or an annual trips form.
*
Yes
The Diocese of Blackburn (The Church of England in Lancashire) and Blackburn Diocesan Board of Education would like to take photographs or video of you for promotional purposes. The resulting images may appear in our printed publications, on our website or our social media accounts. Please note, any image taken, or information you provide, will not be used for any purposes other than as outlined above.
*
I understand
May we use your image in printed form, video, online and social media channels?
*
Yes
No
In order to ensure that your image is not included in our event coverage, we would like for you to please provide a reference image for our records, so that we can ensure compliance with GDPR. This will be taken upon arrival at the event.
*
I understand
The personal information obtained through the completion of this form will be used by member of the Board of Education to contact you with in regards to Abide North. We will not share your details with any third parties
*
Please tick to confirm that you have understood and agree to this information being used in this way.
Do you give permission for us to retain your contact details so that the Board of Education and Abide may contact you about further Children and Youth Events that maybe of interest to you?
*
Yes
No
Where did you hear about us?
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If in future you wish to withdraw your consent please email youthministry@blackburn.anglican.org with the details you wish to have removed.
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