Youth Group & Teen Stream Registration

Young Person's Full Name

First

Last

Date of Birth

What school year is your child in?

Address

this Contact to

I, the parent/guardian of the child named above, agree with the following statements:

I give permission for my child to attend the Stirling North Connect Youth Group on Sunday evenings and other Connect Youth events such as Teen Stream at Messy Church.
I give permission for my child's photo to be taken and used on the church's social media
I give permission for my child to go home by themselves

I have indicated below any permanent or temporary medical or other conditions(s) including special dietary and medication needs, which should be known about my child. (Please write N/A if this does not apply to your child.)

Name of Parent/Guardian

First

Last

Phone

Emergency Contact Name ( if different from above)

First

Last

Emergency Contact Phone ( if different from above)

I am happy to be added to a Whatsapp group for parents to receive updates about the group

Date

By submitting this form I consent to the use by the Congregation of the personal information provided for the purpose of running the Youth Group & Teen Stream at Messy Church. Please note that the information provided will be retained by us for as long as it is required for the purpose for which it was collected or unless you withdraw your consent. A copy of our Privacy Policy can be found on our website.”

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