Youth Alpha at St Laurence's Church

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Thanks for expressing an interest in Youth Alpha at St Laurence's Church!

This form is for parents or guardians to register your details and consent for a young person to take part in Youth Alpha this Summer. Please complete one form for each young person.

The first session is on Sunday 28th June 2020.

Email *

What's your Full Name (Adult)? *

What's the Full Name of your young person (Child)? *

How old are they? *

What's your relationship with them? *

Parent

Grandparent

Foster Carer

Guardian

Other:

Does the young person have any particular needs, disablities or access requirements you would like us to know about?

How did you hear about Youth Alpha?

From a friend

Social Media

St Laurence's Church website

'Find an Alpha'

Other:

If you would like you/your young person to join the Youth Alpha at St Laurence's Church WhatsApp Group, please list your WhatsApp Numbers here.

I agree for the young person above to take part in Youth Alpha. I agree that whilst Youth Alpha takes place online, I remain responsible at all times during the session for the safety and wellbeing of the young person, and agree to remain present and accessible in the home throughout the Youth Alpha session. *

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This form was created inside of St Laurence's Church Coventry. Report Abuse

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