BTC Juniors Registration Form 2025-2026
All information captured on this form will be held in confidence.
I give permission for my child to attend the organisation(s) above at their usual meeting places and participate in all of their usual activities.
Name
First Name
Last Name
Date of Birth
School Year
Address
Name of parent/guardian
Mobile
Email address
Primary emergency contact name
Secondary emergency contact name
Relationship to child
Relationship to child
Mobile
Mobile
Heading
At Big Tree Collective Juniors we aim to create a safe, comfortable and enjoyable environment where your child can thrive and grow in their journey of faith. Please help us plan our activities by answering a few short questions to help us get to know them better.
Information about physical or mental health problems and/or additional needs your child may have (please put n/a if not applicable)
Information about any dietary requirements or allergies your child may have (please put n/a if not applicable.
Tell us a few things your child really enjoys
Tell us a few things your child does not enjoy
I agree that photographs/video taken of my child can be used for:
Church purposes. For example, use in a PowerPoint during a church service
The church website
The church and children and youth facebook pages and groups
The church and children and youth instagram pages
Local press and media
PCI publications
We'd love to keep in touch with the latest from Children's and Youth Ministry at First Bangor. You can ask us to stop at anytime, but if you DO NOT want to hear from us, please tick the box. You can find out more about your rights and choices, and how we use your information in our Privacy Policy which is available from the Church Office.
I do not want to be kept up to date
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 a first aider, if available, or medical treatment to be administered by a suitably qualified medical practitioner. In the event of a medical emergency, leaders will endeavour to contact you as soon as possible using the contact telephone numbers given. I will inform Rose Armstrong 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 above. I confirm that the above details are correct to the best of my knowledge.
Signed
Date
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Month
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Day
Year
Date
Submit
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