Youth Activity Registration

Youth Activity Registration

Please complete this form to register. A parent or guardian's information is required.
Participant's Pronouns
Participant's Full Name*

First NameLast Name
Participant's Date of Birth*

DayMonthYear
Date
Home Address

Street Address

Street Address Line 2
City/TownCountyPostcode
Parent/Guardian Full Name*

First NameLast Name
Parent/Guardian Email Address*
example@example.com
Parent/Guardian Phone Number*

Area CodePhone Number
Parent/Guardian Phone Number

Area CodePhone Number
Which school does the participant attend?*
If other please state which school
If 'other' - please specify which school the participant attends
Which session are you joining?

Art 10-13's Wednesdays 4.15 - 5.15pm St Pauls Church HallActing 10-13's Wednesdays 4.15 - 5.15pm St Pauls Church HallHangout space in Emery Gate Saturday 1-3pm 10-13'sHangout space Emergy Gate for 14-18'sOther
Additional Needs or Accommodations
Any medical information
Photo Consent

I consent to the use of photos for promotional purposesOther
Can the participant leave unaccompanied?

YesNoOther
Please see our website for all of our policies, including safeguarding and GDPR https://ragandbonearts.com/policies/
Should be Empty: