Terrace Row Youth Summer Club Registration

TERRACE ROW YOUTH SUMMER CLUB 2026

Hi there, we are thrilled that you are considering joining us for our Youth Summer Club 2026! This year we are bringing a range of activities in three special days for our youth! Our first day is on Wednesday 29th July, from 18:30 to 21:00 (We will start with dinner!). On Thursday we will be out and about, it's our trip day and it all comes to an end on Friday night with a sleep over starting at 20:00 and finishing on Saturday with pick up 9:00am. The cost for all three days is £25 per child and that covers food and activities!
Child’s Full Name:
Date of Birth

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Parent/Guardian Full Name:
Relationship to the Child
Email
example@example.com
Phone Number
Home Address
Please, indicate here any medication being taken, additional needs, allergies or dietary requirements relevant to your child, any medical condition and anything else that would be helpful for the leaders to known about:
Do you give permission for photographs/videos to be taken of your child and be used for church purposes? e.g. PowerPoints and video display in church service, social media such as church website and church social media.
In the event of illness or accident, having parental responsibility for the above named child, I give permission for first aid to be administered where considered necessary by first aider, if available, or medical treatment to be administered by a suitably qualified medical practitioner.

I will inform the leaders of any important changes to my child's health, medication, or needs and also of any changes to our address or to any of the phone numbers given.

Note: In the event of a medical emergency, leaders will endeavor to contact you as soon as possible using the contact telephone numbers given.
Emergency Contact 1
Phone Number
Emergency Contact 2
Phone Number
Signature

By signing this form I confirm that the above details are correct to the best of my knowledge.
The information on this form will be stored in accordance with our Privacy Policy which can be viewed on our church website.
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TERRACE ROW YOUTH SUMMER CLUB 2026