In order to run a safe, happy and lively youth club, we need you to fill in the details below and return them so that we can keep them on file for an emergency. We will not share these details with other people and they will be kept in a safe/secure place in line with our policies.

Please fill out this form if your child is going to attend youth club, even if you have previously completed one of the older paper versions. Any questions please ask one of the volunteers or drop a message to our facebook page (https://www.facebook.com/kirkbymalzeardyc).