Registration Form

Child's Full Name

Parent/Carer Name

Address

Date of Birth

Phone

Please inform us of any additional information that we may benefit from knowing whilst your child is in our care. (Include any medical information/allergies in this section.)

If you would like us to contact you to arrange to produce a ‘one page profile’ to highlight any additional needs please tick this box.

Alternative/Emergency Contact Name

Address

Relationship to Child

Phone

Tick this box if you are happy for photos to be taken of your child for our Jubilee Youth Instagram page.

Tick this box if you would like to be added to a WhatsApp group for parents to have updates from us.

Tick this box if you would like your child to be added to a seperate Jubilee Youth WhatsApp group for updates and check ins from leaders.

(If Yes) Child's Phone Number

Please check this box to consent to your data being stored in line with our Privacy Policy. We'll never share your personal information and you can opt out of our communications at any time.Privacy Policy

Registration Form

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