Budleigh Youth Community Project (BYCP) Expression of interest
This form must be completed by a parent/carer/guardian before a young person can attend a BYCP youth group or activity. This form can be completed online, but we must also physically see a parent/carer/guardian before the first session too. 
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Young persons first name and surname
Date of birth *
MM
/
DD
/
YYYY
Gender *
Ethnic group
Address including postcode
 *
#1 Parent/carer name and contact phone number for emergencies *
#2 Parent/carer name and contact phone number for emergencies
 *
Name of person completing this form *
email address *
Relationship to young person *
Please share any information with us, so we have a better understanding of any situation that may occur, such as medical problems, disabilities or allergies.
By recording my name in the box below I consent to my child attending the BYCP youth group and other BYCP activities. I consent to them using the BYCP internet access in accordance with the policy. I consent to them receiving any medical attention required.  *
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