Connect Youth Fellowship Registration

Connect Youth Fellowship Registration

Fill in your details to register (Year 8 and above).
Young Person’s Name

First NameLast Name
Date of Birth

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Current School Year
Parent/Guardian Contact Name

First NameLast Name
Parent/Guardian Phone Number

Area CodePhone Number
Relationship to Young Person
Please note your number will be added to our WhatsApp group for communications.
Any medical conditions or allergies we should be aware of?
Do you consent to have your child included in any photos which may be uploaded to social media and/or our church website?
In the event of illness or accident, I give permission for first aid to be administered where considered necessary by a first aider, if available, or medical treatment to be administered by a suitably qualified practitioner. * In the event of a medical emergency, a leader will endeavour to contact you as soon as possible using the contact telephone numbers provided on this form. * I will inform a leader to any important changes to my child's health, medication or any phone numbers given above.
I give Cuningham Memorial Presbyterian Church permission to contact me via the contact details provided about youth work taking place in the future.
GDPR: By submitting this form, you agree that the information you provide will be used to prepare meeting materials, obtain parental consent, and to contact you about future youth events at Cuningham Memorial.
Signature
Should be Empty: