Summer Youth Programme Registration 2019
For more information contact Ashley on 07482236738 or
Parent's Mobile Number
Young Person's Mobile Number
Which Programme(s) would you like to register your child for?
Games In The Park - Monday 15th July
Breakie Bonanza - Tuesday 16th July
Let's Go Hydro Trip - Wednesday 17th July
HBC (£15) - Monday 22nd - Friday 26th July (Separate form required - available from website)
Fusion Youth Week - Monday 19th - Friday 23rd August
Are there any relevant medical conditions, allergies or other special needs or requirements?
If yes please give details.
I give consent for my child/children to attend the selected programmes.
I give consent for my child/children to receive first aid if required.
I give consent for my child/children being included in photographs and videos which may then be included on church publications and social media sites.
Signed by Parent/Guardian
A copy of your responses will be emailed to the address you provided.
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