YMCA Youth Club Sign Up Form

This form is used to collect information about your young person who attends and will be used by YMCA Essex staff. The data you provide to us is securely stored and will be kept for three years for any queries that arise before being securely destroyed. By submitting this form you confirm that you are happy for YMCA to contact you regarding youth club updates.

Sign in to Google to save your progress. Learn more
Which youth club are you attending? *
Required
Young person's first name *
Young person's last name *
Do you give consent for photos to be taken and shared by YMCA, our partners & other third parties? Photos may be used for advertising, social media, press releases, reporting & any other youth related materials.  *
Required
Please give any medical details or allergies (please put 'none' if nothing to report) *
Date of birth (day/month/year) *
Which school does the young person attend? *
Parent/carer email address *
Parent/carer phone number *
What is the first line of your address (number & road name)? *
What is your home postcode? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms