Youth Registration • Kingborough Family Church

Personal Details

Youth's First Name *

Date of Birth *

Medical details - e.g. allergies *

Youth's Last Name *

Youth's Mobile

Youth's Email Address

Permissions

Permission to contact your child directly *

Yes

Photo & video permission?

Advert/promo/website - YES

Advert/promo/website - NO

Facebook page - YES

Facebook page - NO

Who do you give permission to collect your child from events? *

Tip: Name, relationship, contact number

Do you give KFC Youth Team permission to transport your child to and from events if necessary? *

Tip: This will always be with a fully licensed driver.

Emergency Information

Parent / Guardian Name *

Parent / Guardian Mobile *

Tip: Enter phone number with NO spaces

Relationship to child *

Parent / Guardian Email

Your Agreement with Us

I understand that although the leaders will take all responsibility to ensure both the comfort and safety of my child, there is still a risk that an accident may occur. *

Today's date *

In filling out this form you are are giving permission for your child to attend Kingborough Family Church Youth and helping us provide the best level of care while your child is in our supervision.

Personal Details

Permissions

Emergency Information

Your Agreement with Us