Registration Form Young Church and Junior Choir

Young Church and Junior Choir Registration

To be completed by the parent or guardian of the child being registered. Please complete a separate form for each child and ensure you have read each part of the form carefully.
Young Church exists to encourage and nurture children, young people and families in their Christian faith. All are welcome and we aim to offer a safe, secure and stimulating environment in which to explore our faith and grow together as Christians. For more information on the group, please visit our website: https://stmarylebone.org/information/groups-and-activities

Junior Choir is for children in Year 3 and above at school, with rehearsals taking place every Sunday following the 11am Choral Eucharist (12.30pm - 1.15pm). Members attending these sessions have the chance to improve their singing, make new friends and work as a group towards monthly performances in church. It is a condition of membership that Junior Choir members take part in live performances during the 11am Choral Eucharist. All children must be accompanied by a Parent/Guardian.
Attendance at Junior Choir does not qualify as church attendance for school admissions.
Please tick the boxes for the parish church groups you will be attending/are interested in attending (you can select all three):*

Sunday 8:30am Young Church during term time, in the Crypt Hall during the Holy CommunionSunday 11am Young Church, in the Crypt Hall during the Choral Eucharist.Junior Choir, rehearsals and services as advised. Sessions are straight after the 11am service, 12.30pm - 1.15pm (Please wait by the Choir Steps at the front to be collected)My child is in secondary school, and signing up to volunteer with Young Church and/or Junior Choir
Family Details
Full date of this completed application form. NOTE: For safeguarding purposes your child's attendance record will begin from when we receive this form*

DayMonthYear
Please specify the date your family first started attending St Marylebone, if different to the date of this form's submission

DayMonthYear
If you are unsure, please specify the MONTH and write 01 for the day
Are you and your family arriving from another church community? If so, what is the name of your previous church?
(St Marylebone CE School currently requires 3 consecutive years of church attendance for entry into Year 7. If you are joining us and your child is currently in Year 4 or Year 5 at school, please also provide your previous church with a Clergy Form)
Please provide us with a family photo (of you and your children) for us to keep on file. This is kept securely along with your registration details. We require family photos for safeguarding purposes, to help our team to easily identify families in church*
Child Details
Full Name of Child*
Sibling details, if applicable, including their full name(s) and age(s). If they are also joining Young Church, please fill out additional Registration Form(s).
Child's Date of Birth*

DayMonthYear
Further details

To help us place your child in an appropriate age group at Young Church and/or Junior Choir
School Year Group*
Has your son or daughter been baptised?*

YesNo
Date of Baptism

DayMonthYear
If you cannot remember the date or month, please write 01/01
Place of Baptism
Has your child been admitted to Holy Communion?*

YesNo
Has your child been Confirmed?*

YesNo
Date of Confirmation

DayMonthYear
Place of Confirmation
Whilst in our care it would be helpful to know whether your child has any long term medical conditions, any allergies or phobias or is on any medication:*
Please write N/A if none
Is there anything else of which we should be aware? *
Please write N/A if none
Family Doctor (Name, Address and Telephone Number) *
Parent/Guardian 1 Details

To be filled in by the Parent/Guardian filling out this form
Parent/Guardian Name (Please include your TITLE and write your name as it appears on official documentation)*

PrefixFirst NameLast Name
What is your relationship to the child being registered? (e.g. Mother, Father, Guardian)*
Home Address

Street Address

Street Address Line 2

CityCounty

Postal / Zip Code
Phone Number*

Area CodePhone Number
Email*
Would you be willing to volunteer at Young Church as a Parent Helper?
Yes / No (Please specify) The Families Ministry Lead will contact you to discuss this further. Please note volunteering involves being DBS checked by the Diocese of London.
Do you have a DBS Clearance Certificate? (Please specify)*

YesNo
My DBS Number is
Date of Certificate

DayMonthYear
Date
Parent/Guardian 2 Details
Parent/Guardian Name (Please include your Title and write your name as it appears on official documentation)

PrefixFirst NameLast Name
What is your relationship to the child being registered? (e.g. Mother, Father, Guardian)
Home Address

Street Address

Street Address Line 2

CityCounty

Postal / Zip Code
Phone Number

Area CodePhone Number
Email
Do you have a DBS Clearance Certificate? (Please specify)

YesNo
If yes, my DBS Number is:
Date of Certificate

DayMonthYear
Date
Would you be willing to volunteer at Young Church as a Parent Helper?
Yes / No (Please specify) The Families Ministry Lead will contact you to discuss this further. Please note volunteering involves being DBS checked by the Diocese of London.
Conditions of Registration
Please read carefully and specify whether you agree to the following Conditions of Registration.

I agree to my child attending worship and volunteering at St Marylebone Parish Church, including at Young Church/Junior Choir in term time, as part of their commitment towards attaining The Duke of Edinburgh's AwardI understand that my child will be asked to sign the Code of Conduct Guidelines (Appendix G) from our Safeguarding Framework, which is available to view here: https://stmarylebone.org/about-us/safeguarding/I understand that my child will be supervised by the Families Ministry Lead and Chaplain while undertaking their volunteering duties
Please read carefully and specify whether you agree to the following Conditions of Registration. For further details on attendance registration, please see the Welcome Letter from the Rector.*

I agree to my child attending Young Church/Junior Choir in term time. I understand that children attending Young Church and Junior Choir must be accompanied by their parent or nominated guardian, and that their parent or guardian must remain in the parish church throughout the service/after the service for Junior Choir.If my child is a member of Junior Choir, I agree to accompany my child to and from rehearsals after the 11am Choral Eucharist. I also understand that I must remain with my child throughout the meeting of Junior Choir (12.30pm - 1.15pm)I understand that my child is expected to stay for the entire 8:30am Holy Communion or 11am Choral Eucharist, and that I should not take my child away from the parish church until after the Dismissal. I agree to seek permission from the Families Ministry Lead in the event that I have to leave the parish church early with my child
Has Parent/Guardian 1 and, if applicable, Parent/Guardian 2 signed a Church Membership Form (Electoral Roll Form)?*
If no, please ask for and complete these forms
Supporting the work of St Marylebone Parish Church
Please kindly consider donating to St Marylebone Parish Church, which you can do by filling out the Standing Order form below. Without your help, we would not be able to provide worship, activities and events for Young Church, or continue any of the important work we do in the community.
Have you filled in a Standing Order form as part of your giving to the parish church?*
Please fill out the Standing Order form (attached below) to give a regular donation to St Marylebone Parish Church
St Marylebone Parish Church is an important part of everyday life for so many people: from daily worship, music, our thriving Young Church, working with some of the most vulnerable people in London, providing primary care and psychotherapeutic services – as well as our two schools and providing chaplaincy to local hospitals and institutions. None of this is possible without your help and support. You can find out more about the difference we make to the community on our website: https://www.stmarylebone.org/
Photographs and Videos

Let us know whether we can take, store and use photographs and videos of your child for St Marylebone Parish Church activities
I give/do not give (select below) permission for my child’s photograph/video to be taken at/displayed at St Marylebone Parish Church or online, and for photographs, videos and live recordings of activities including my child to be used within the parish church community/for possible publication including newspaper, Church publications, and internet (such as on our official social media accounts).*
Signature

Clear
Date*

DayMonthYear
Name of Parent or Guardian Signing the Registration Form*
Should be Empty:

Young Church and Junior Choir Registration

Family Details

Child Details

Further details

Parent/Guardian 1 Details

Parent/Guardian 2 Details

Conditions of Registration

Supporting the work of St Marylebone Parish Church

Photographs and Videos