2024/25 SWAY Youth Group & Activities Permission Contact Registration Form
Thank you for completing the permission and updating your contact details for SWAY activities. Please contact SWAY if these details change after submitting. 
Please complete a form for each young person so we can inform you of appropriate age group activities for 2024/25
Any queries please contact: SWAY Office email: swayoffice1@gmail.com or telephone: 07880951243
Many Thanks 
Your contact details are not shared with any other organisation. Permission is being given by using a verified email.

* Indicates required question
Email *
Name of young person *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
School Year or equivalent on 1st September 2024 *
Parent/ Carer Name and Primary Address & Postcode of young person *
Your answer
Phone number  *
Your answer
Alternative Emergency Name, Contact phone number & Email. Please state N/A if no alternative. *
Your answer
My child 's doctor’s name and address is:  *
Your answer
In your child’s interest, it is important that we should know whether they suffer from any illness or medical condition. Please use this space to state, in confidence, any health or other matter of which accompanying staff should be aware. Please indicate here also if your child is receiving medication including painkillers, with details and dosage while on the activity. (All medication to be given to a member of Staff and administered by them.) State N/A if appropriate      *
Your answer
Any specific dietary requirements including vegetarian/ vegan/ gluten free/lactose intolerance     
Your answer

1.      PLEASE INDICATE BELOW IF YOU AGREE TO PHOTOGRAPHIC or VIDEO CONSENT  for in house, reports, fundraising advertising and internet:

 *
Choose
Yes
No
I am giving permission for my child to take part in (please tick all relevant activities) *
Required

Please tick agreement below:

 *
Required
Signed/Completed by Parent/Carer Name and Date
 *
Your answer
Submit
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