PLEASE TYPE IN BLACK AND BLOCK CAPITALS IF COMPLETING BY HAND. PLEASE NOTE ALL FIELDS MARKED * ARE MANDATORY.
This form should be completed by a responsible adult over the age of 18, preferably the legal guardian. This form is best completed by the parent/guardian together with the young person who will be participating in the Concordia Youth Action programme.
The purpose of this form is to gather the information needed to keep your young person safe and support them during their time on programme. Please provide as much detailed information as possible. The information you provide will be shared with the group leaders, as part of the necessary administration of the programme.
Please confirm that your young person is aware you are providing this information on their behalf to Concordia, and that you give consent for the young person to participate in
the Concordia Youth Action experience, by ticking the boxes and completing this form.