Youth hub membership

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Use this form to fill in the information we require for the young person you are responsible for to be able to attend youth activities with us

Name of young person

Date of birth

YYYY

School

Name of next of kin and relationship to young person

Emergency contact number

Next of kin email address

Home address

Any allergies?

Any medical information?

Able to leave youth club without an adult?

Yes

Clear selection

Permission for first aid to be provided as required?

Yes

Contact me first

Clear selection

Permission for photos to be taken which might be used on social media and our website/ promotional material?

Yes

Taken but not used on social media

Clear selection

All activities at youth club sessions have been risk assessed and are monitored under adult supervision. By signing this form, you agree that your child takes part at their own risk and The Handy Trust can’t be held liable for any injuries, losses, damages or diseases incurred by the young person named and you give permission for the young person named to take part in any activities they choose hosted by The Handy Trust. Please type your name below to agree with this and confirm that the information is accurate and true for the young person named in this form. Thank you

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