Elev8 Youth form- Year 6-Year 11.

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Dear Parents,
Thank you for taking the time to fill out this registration form. Any personal data collected in this form will be kept safe and secure under the terms of the privacy agreement and GDPR held at Church180 Elim and by Elim churches.
This form is to be completed for any child attending Elev8. Elev8 is for Young people in Year 6-Year 11. If your child is Younger we have a kids group available as well. Please go to our kids page to find the link to KICK Registration form.
Elev8 runs every Thursday night 6:30-8:00pm (term time.) We have a jam packed programme of games, outings, specials, food, songs and teaching.

Contacts:
Website : www.church180.co.uk/
Facebook : @Church180Elim
Instagram: @Church180elim
Phone : 01803 528592
Address: Church180, Hodson Close, Paignton, TQ3 3NU (Car park available)

Name of child *

Date of Birth *

YYYY

Address *

Emergency Contact Name *

Emergency contact number *

Emergency contact name 2

Emergency contact Number 2

Email Address *

Are there any additional needs we need to know about? (Inclu. health, allergies, dietary and learning) *

I give consent for my child to have their photos taken during any clubs at Church180 *

I give consent for my child to have their photos published at the church’s discretion *

I give my permission for my child to have face painting *

Transport

As part of Elev8 we provide a mini bus transportation service. This could include any of our trips organised and drop offs after the youth session. If our Mini bus is full we may use car transportation. All of our vehicles are fully serviced and have the correct insurances in place to carry children.
Please give appropriate consent to cover all circumstances/programmes.

I agree to let me child travel on the transport provided by Church 180 *

Yes

Yes but I will drop off and collect my child from Church 180 during normal sessions

Please select the bus pick up point you would like us to collect and drop off your child * please note there will be no pick ups on Thursday 16th September. However we will still drop off to the designated drop off points.

Please select the following consent for before and after bus journeys.

I will drop off and collect my child from the bus stop

I give consent for my child to walk to the bus stop and walk home alone

Clear selection

Club expectations

Please read the below expectations with your child:

• Respect Leaders and all other people
• Respect the building inside and outside
• Do what the leaders and volunteers ask of you
• No play fighting
• No swearing
• Bullying is not tolerated- This includes any form of physical, psychological, emotional, verbal or online abuse!
• No drugs, alcohol or energy drinks.
If Children and young people consistently do not follow the above expectations you may be asked to come and collect your child or asked to leave the premises. Parents will always be contacted if this occurs. They may subsequently be asked not to attend the following session/s. If this continues to happen over a period of time there is a possibility that they may no longer be able to attend.

I have read the above expectations and understand

I understand that if my child is in need of first aid while at Church 180 or on transport that first aid will be carried out by a qualified first aider.

I have filled out this form to the best of my knowledge

Required

Parent Signature *

Date *

YYYY

Submit

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