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Youth Connect 11am Registration Form
Youth Connect is a chance for those in Y7-9 to connect with each other through conversation and games and to connect with God as they look at the Bible together. It runs at Saint James Church Clerkenwell during the 11am service on Sundays.
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* Indicates required question
Young person's information
Young person's full name
*
Your answer
Young person's home address
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Your answer
Young person's date of birth
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MM
/
DD
/
YYYY
School year group
*
Your answer
Parent or Guardian's information
Parent or guardian name
*
Your answer
Phone number
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Your answer
Email address
*
Your answer
Medical Information
Does your child have any disability, illness, dietary requirement or allergy (e.g. asthma, peanut allergy) which we need to know about? If yes, please give details
Your answer
Does your child have any special needs or preferences that we should know about to help us care for them? If yes, please give details
Your answer
Permissions and additional details
I agree to my child attending Youth Connect
*
Yes
Required
I am happy for my child to make their own way to and from Youth Connect
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Yes
No
I agree to photographs and/or video of activities including my child to be used within the church community/for possible publication including newspaper or internet
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Yes
No
In case of injury/illness, I give consent for the first aid supervisor to administer first aid and/or contact emergency services
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Yes
No
I understand my details will be held on the Inspire Saint James IT systems
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Yes
Required
Parent/Guardian signature (type name)
*
Your answer
We'd love to let you know about other Inspire Saint James events for children and families
Please tick the boxes below if you would like to receive information about:
Inspire Holiday Club
Inspire Football sessions (for those aged 6-14)
Other events and activities for children and families
Notes
You can change your communication preferences at any time by emailing
admin@inspirelondon.org
For further details about how we process your data please refer to our privacy policies, which you can find at
www.inspiresaintjames.org/contact-us/
.
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