Youth Registration Form

Please tell us about the young person

First names

Last name

Address

How does the young person travel to youth group sessions?

Please list any medical conditions

Please list any allergies

Parent/Guardian Details

Name

Address

Phone

Email

Emergency Alternative Contact

Contact's Relation to Young Person

Phone

I confirm I am a parent/guardian of the young person.

I give my permission for them to attend youth sessions at St George's.

I consent to St George's safely storing this data and understand it will be deleted when my child no longer attends Youth sessions or at my request.

Photo Permissions

I give permission for photographs of my young person to be shared on social media, website and print publication.

I do not give permission for photographs of my young person to be shared on social media, website and print publication.

Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Medical Consent

If, during my time in the care of the youth group, I am ever in a situation where it is understood I require first aid, I give my consent for the group leaders to provide first aid.

Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

St George's is committed to the safety and wellbeing of young people. If you have concerns about a young person please contact the relevant authorities using the information here: Safeguarding | St. George's Church

Comments/Questions