Youth Club Membership Sign Up 2026

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Please fill in this form with as much detail as possible before attending any youth sessions at The Core

Email *

Child's Information

Child's Full Name

Childs's Preferred Name and Pronouns

Child's Date of Birth *

YYYY

Child's School Year *

Address *

Does your child have any allergies or dietary requirements? *

Please let us know of any allergies or food intolerances below. If your child has an airborne allergy a phone call home will be required before we are able to accept the child as a member to ensure we can accommodate them first.

Medical Information *

Please list all applicable information such as medication/ epi-pens etc.

Does your child have any additional needs such as ADHD, Autism etc? *

Please note we do not have capacity to offer 1-2-1 support during our youth sessions, if you feel your child would require additional support please feel free to get in touch with us at charlotte@thecoresaltash.co.uk and we would be happy to see if there is anything we can offer.

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