Youth Night logoThanks for providing the details below to help us run Youth Night safely. We will also add you to the group Whatsapp so that we can update you if there is any info you need week-to-week.  

 

Register Here: 


Parent/Guardian's First Name: 

Parent/Guardian's Surname:
Parent/Guardian Telephone/Mobile: (contact for in case of emergency while club is running) 


Second Emergency contact (name/relationship to young person and phone number):


Youth First Name: 

Youth Surname: 

Youth Known as: 

Contact number
for WhatsApp Group communication (mobile number and name of whose number it is!):

Youth Date of Birth: 
School Year (eg S1): 
School: 
Any allergies or medical conditions we should be aware of:

Youth Address: 
Any likely other adults with permission to collect from the activity if different from emergency contacts above (eg if sharing lifts with parents of other youth attending)*this can be updated on ad hoc basis  - just provide info to the leaders at drop-off

Please click here to view the Privacy Notice as relates to our use of the information you have provided.

I give permission for these details to be entered on the club database and used as detailed in the Privacy Notice:
Yes    No 
I give permission for these details to be stored after the club to inform me of future activities as detailed in the Privacy Notice:
Yes    No 
I give permission for this young person to be photographed during club activities as detailed in the Privacy Notice:
Yes   No