CCRYouth Online Registration Form
This form is designed to cover a range of activities and events run by the youth team at CCR. You should only have to fill this in every 2-3 years. We recognise however that circumstances do change, please therefore inform the Youth Pastor in writing of any changes as soon as possible. Many Thanks.
1. Young Persons Full Name
Your answer
2. Young Persons Date of Birth
MM
/
DD
/
YYYY
3. School
Your answer
4. Current School Year
5. Young Persons Contact Details (mobile number or email used by young person)
Your answer
6. While your child is in our care it would be helpful for us to know whether they suffer from any ALLERGIES, PHOBIAS, MEDICAL CONDITIONS, DISABILITIES or DIETARY REQUIREMENTS
Your answer
7. Please give details of any MEDICATION (please ensure adequate supply is brought to events if it could be needed and ensure the organiser is informed)
Your answer
8. Name, Address & Telephone of Doctor
Your answer
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