WT Youth Church Registration Form

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𝗧𝗵𝗶𝘀 𝗳𝗼𝗿𝗺 𝗶𝘀 𝘁𝗼 𝗰𝗮𝗽𝘁𝘂𝗿𝗲 𝘁𝗵𝗲 𝗶𝗻𝗳𝗼𝗿𝗺𝗮𝘁𝗶𝗼𝗻 𝗼𝗳 𝗲𝘃𝗲𝗿𝘆 𝗰𝗵𝗶𝗹𝗱 (𝗮𝗴𝗲𝗱 11-𝟭𝟳 𝘆𝗲𝗮𝗿𝘀) 𝘂𝗻𝗱𝗲𝗿 𝘁𝗵𝗲 𝗰𝗮𝗿𝗲 𝗼𝗳 𝘁𝗵𝗲 𝗪𝗼𝗿𝘀𝗵𝗶𝗽 𝗧𝗮𝗯𝗲𝗿𝗻𝗮𝗰𝗹𝗲 𝗬𝗼𝘂𝘁𝗵 𝗖𝗵𝘂𝗿𝗰𝗵.
𝗔 𝗰𝗼𝗽𝘆 𝗼𝗳 𝘆𝗼𝘂𝗿 𝗿𝗲𝘀𝗽𝗼𝗻𝘀𝗲 𝘄𝗶𝗹𝗹 𝗯𝗲 𝘀𝗲𝗻𝘁 𝘁𝗼 𝘆𝗼𝘂𝗿 𝗲𝗺𝗮𝗶𝗹.

Email *

Child's Full Name *

Please add your child's Forename and Surname

Child's Date of Birth *

YYYY

Parent's or Guardian's Full Name *

Relation to Named Child *

Parent's or Guardian's Contact Number *

Child's Mobile Number *

Does Your Child Have Any Medical Condition? *

None

Asthma

Sickle cell anemia

Diabetes

Epilepsy

Other:

Required

Does Your Child Have Any Additional Needs or Disabilities *

If your child has additional needs we will need

None

Autism

Attention deficit hyperactivity disorder

Dyslexia

Down’s syndrome

Hearing impairment

Visual impairment

Mental health needs (anxiety/depression)

Global developmental delay

Other:

Required

Can We Add You To The Children's Church Whatsapp Group? *

WhatsApp group is only used to inform parents about up coming event and any children's church updates

I Consent To My Child's Image Being Used By WTCC *

To comply with the Data Protection Act 1998, we need your permission before we can take photograph or make any recordings of your child.From time to time, there is a need for WTCC to build up a library of images of our children to encourage and build up their confidence i.e. during short plays, during church service or during events conducted by the church either within the church premises or other event location. These images are also for newsletters and activity display boards. It would be helpful if you could consent and give your approval for us to take photographs or video of your child whilst being a part of children’s church.

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