Cooke Church: Youth Organisation Registration
To register your child/children for a youth organisation please fill in the form below.

-> Please fill in one form for each child attending. 
-> You only need to register once. 
-> Weekly registration is not required.
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Email *
Select organisation(s) that your child may attend *
Required
Child's Full Name
*
Child's Date of Birth
*
MM
/
DD
/
YYYY
Allergies, medical conditions, special or additional needs
*
Are you happy for us to treat your child if they require medical attention?
*
Are you happy for your child to be included in activity photographs?
*
Are you happy for your child to be taken to Ormeau Park for supervised activities?
*
Are you happy for your child to walk home by themselves?
*
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