2024/25 SWAY Youth Group & Activities Permission Contact Registration Form

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Thank you for completing the permission and updating your contact details for SWAY activities. Please contact SWAY if these details change after submitting.

Please complete a form for each young person so we can inform you of appropriate age group activities for 2024/25

Any queries please contact: SWAY Office email: swayoffice1@gmail.com or telephone: 07880951243

Many Thanks

Your contact details are not shared with any other organisation. Permission is being given by using a verified email.

Email *

Record my email address with my response

Name of young person *

Date of Birth *

YYYY

School Year or equivalent on 1st September 2024 *

Year 6

Year 7

Year 8

Year 9

Year 10

Year 11

Year 12

Year 13

Other:

Parent/ Carer Name and Primary Address & Postcode of young person *

Phone number *

Alternative Emergency Name, Contact phone number & Email. Please state N/A if no alternative. *

My child 's doctor’s name and address is: *

In your child’s interest, it is important that we should know whether they suffer from any illness or medical condition. Please use this space to state, in confidence, any health or other matter of which accompanying staff should be aware. Please indicate here also if your child is receiving medication including painkillers, with details and dosage while on the activity. (All medication to be given to a member of Staff and administered by them.) State N/A if appropriate *

Any specific dietary requirements including vegetarian/ vegan/ gluten free/lactose intolerance

1. PLEASE INDICATE BELOW IF YOU AGREE TO PHOTOGRAPHIC or VIDEO CONSENT for in house, reports, fundraising advertising and internet:

I am giving permission for my child to take part in (please tick all relevant activities) *

Youth Group Rock Solid (School Years 6 to 7)

Youth Group Roots (School Years 8 to 13)

Mentoring: Groups, River Project or 1:1

Young Leaders Programme

On Island activities eg cycling, walks, kayaking, camping, fundraising

Harbour Church (Isle of Wight and Portsmouth)

Trips using Minibus on island

My child can travel in a leader's car (parent providing own booster seat if required)

Zoom Online: Cook-Along Together

Corf Camp Weekend

Other:

Required

Please tick agreement below:

I consent to my child taking part in the trip(s) and activities listed above

I acknowledge that the staff will be liable in the event of any accident only if they have failed to take reasonable care of my son/daughter during the visit.

I consent to my child receiving medical treatment that, in the opinion of a qualified medical practitioner, may be necessary.

Required

Signed/Completed by Parent/Carer Name and Date

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