Danehill Youth General Consent Form 23/24
This form is to be filled out by a parent/guardian. Thank you for signing your young person up to the youth groups in Danehill! This form will give us all the info we need for our regular groups, as well as any trips we might go on.

TNT is back on the 7th of September at the Danehill memorial hall from 7-8.30, and is now open to school years 7-11.

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Young Persons Name *
Young Persons Mobile Number *
Young Persons Date of Birth *
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Which school do they attend?
School Year as of September 2023 *
Young Persons Home Address *
Young Persons Postcode *
Dietary Requirements
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Are there any health/allergy details we should be aware of? *
Are there any emotional/social details we should be aware of? *
Emergency Contact Information
Parent/Guardians Name *
Parents Mobile Number *
Parents Email Address *
Do you permit us to give the following homely medication if it is needed?
Club Rules
- Entry is £2 per evening, and you can bring extra money for the tuck shop if you want.
- All members must show respect to each other, the building, the equipment and leaders.
- All members must sign in.
- Parents/Guardians are responsible for the safety of club members when travelling to and from the premises.
- TNT, and ICE only accepts responsibility of young people who have signed into the club.
- Cigarettes, vapes, alcohol and drugs are forbidden from the premises.

The young person has read and understood the above rules *
For the Parents
I have read the club rules and give permission for my son/daughter to attend TNT,ICE and other youth ministry activities run by All Saints Church (usually at Danehill Memorial Hall or other pre-published venues). I understand that these activities can include Christian teaching based on the Bible.

I understand that the leaders will take all reasonable care in looking after my son/daughter but the leaders cannot necessarily by held responsible for any loss, damage or injury suffered by my son/daughter during, or as a result of, attending the groups or special events.

In an emergency, if I cannot be contacted despite all reasonable attempts to do so by the leaders, I give permission for my son/daughter to undergo emergency medical/dental treatment including the use of anesthetics as considered necessary by the medical authorities.

I give permission for mine and my son’s/daughter’s information; name, address, mobile number to be known to the leaders for the purpose of supervision and care during the activities of youth club programmes and I confirm I am happy for my son/daughter and me to receive texts about weekly events and updates.  The purpose and use of this information will be protected under the Privacy Policy of All Saints Church – Danehill.



I, the parent/guardian of the young person mentioned, have read and agree with the above statement *
I give permission for photos and videos of my son/daughter to be taken for use in publicity (notice boards, presentations, website, etc.).  Please note: no identifying information (e.g. names with surnames, ages) will ever be included with these photographs. The purpose and use of this information will be protected under the Privacy Policy of All Saints Church – Danehill.
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