ROOTED Moray Youth Events - 2026/27 Registration Form

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Dear Parent/Guardian

**Please complete a separate form for more than one young person**

Thank you for taking the time to complete registration and consent for your young person for Rooted events throughout the 2026/27 school year.

REMAINING DATES FOR 2026 (ALL FRIDAYS ARE 7.00PM - 9.00PM)

2 OCT - Lossie Baptist Church

27 NOV - Buckie Baptist Church

We, the event organisers, are church leaders from Lossiemouth Baptist Church, Burghead Free Church, Elgin Baptist Church, Elgin Free Church, Forres Baptist Church and Buckie Baptist Church.

Together we're very excited to invite young people in S1-S6 from across Moray to ROOTED Youth Events!

Our aim is to help young people to be engaging with God, equipped by his word and encouraged in faith in Jesus Christ, through Bible teaching, worship, games, food and fun!

Rooted Moray Youth Event Team - rooted-moray.org

Which church are you connected with? *

Young Person's First Name *

Young Person's Surname *

Date of Birth *

YYYY

School Year *

Young Person's Address *

Mobile Number of Young Person

Name of Parent/Guardian(s) *

Parent/Guardian(s) Contact Number (Home)

Parent/Guardian(s) Contact Number (Mobile) *

Any Additional Contact Number

(who would take parental responsibility, family member or friend)

Parent/Guardian(s) Email Address *

Health Requirements? (If none, please state NIL) *

Does your young person have any medical condition/allergy or take any medication?

GP Name & Tel Number *

Emergencies *

In the unlikely event of an emergency, it is important that the person in charge of the group has necessary information about any medical condition/allergy that could affect your young person's treatment, and to be able to contact a parent/guardian or other member of your family/friend. Although we try to ensure that a first aider is available, should any serious injury/illness arise we may need to call the emergency services and therefore need your consent to any emergency medical treatment which may be necessary. Whenever medical advice or treatment is needed, the assistance of a GP or A&E department will be sought. The Children’s Act 1989 allows a doctor to provide any necessary treatment for the purpose of safeguarding and promoting the child’s welfare. I consent to any emergency/surgical treatment which my son/daughter may require during the time with us. I understand every effort will be made to contact me.

I understand and give consent

Required

Photos and Videos Permission *

The organisers may take photographs and videos at events. This is for the purpose of keeping memories, to share with the young people and online (Rooted webpage, Facebook Page and Instagram) and for future publicity purposes. To comply with the Data Protection Act 1998, permission must be granted by the parent or guardian before images of your young person are taken or used. Are you willing for us to include your young person in photos/videos?

Yes

Communication *

The organisers use email to communicate about events. I consent to being contacted in this way.

Yes

Data Storage & Protection *

Procedures followed are in line with the organiser's safeguarding policy. All information requested will be treated in confidence. It is in your interests that full and accurate information is given. We would very much like to keep in touch with you. By completing this form you are confirming that you are consenting to the organisers holding and processing your personal data in compliance with current UK Data Protection law. We would also like to keep in touch with you to inform you about Rooted news and events.

I understand and consent

Required

Permission *

The leaders will try to eliminate all risks involved in any activities and designated members of the organising team will oversee the group during all event times. I understand that while the leaders are in charge and taking all responsible care, they cannot necessarily be held responsible for any loss, damage or injury suffered by a young person at an event. I consent to my young person attending Rooted events and taking part in the activities of the group.

I understand and consent

OR - I am a young person over 18 attending the event, and understand the above

Submit

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