St Mary's Children & Youth registration form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Register your child with us so we can keep you informed and provide as best we can for the groups of children and young people we have. All details are secured securely under GDPR regulations and will not be shared with any external parties.

Name of child (First name and Surname) *

Name your child is known by (if different to above)

Child's Home Address *

Email address of Parent/Guardian *

Emergency contact (Name, relationship to child, mobile number) *

Child's Date of Birth (this helps us to keep track of what age groups we need to provide for) *

YYYY

Tick how you are happy for us to contact you *

By email

By telephone

By post

Required

Consent: Do you give your consent for us to take and use photos or videos occasionally of your child on our website or social media channels? (NB If we are doing any activities where we might take photos or videos, we would always inform you in advance of that session and request specific written permission from you on each occasion. Your child's safety and privacy is of our utmost concern) *

Yes

Name of person(s) completing form & relationship to child

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms