Children & Youth Registration (2022-2023)

Young Person's Details:

Young Person's Forename: (required)

Young Person's Surname: (required)

Young Person's Address: (required)

Young Person's Postcode: (required)

Young Person's Date of Birth (dd/mm/yyyy): (required)

Young Person's School Year (during 2022/2023 School Year): (required)
—Please choose an option—Pre-SchoolReceptionYear 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8Year 9Year 10Year 11Year 12Year 13

Medical / Health / Dietary / Behaviour / Additional Needs:

Children & Youth Groups Attending:

Pebbles Toddlers: [pre-school parent and toddler group] (required)
YesNo

Men Behaving Dadly: (required)
YesNo

KFC: [primary school youth group] (required)
YesNo

re:BORN: [secondary school youth group] (required)
YesNo

Sunday School: [sunday morning groups] (required)
YesNo

Walton Youth: [sunday evening youth group] (required)
YesNo

Parent/Carer Details:

Parent/Carer Forename: (required)

Parent/Carer Surame: (required)

Parent/Carer Email Address: (required)

Parent/Carer Mobile Phone Number: (required)

Any other important information:

Emergency Contact Details:

Emergency Contact Name: (required)

Emergency Contact Phone Number: (required)

Consent & Permissions:

In the case of an emergency Walton Evangelical Church will do everything possible to contact you. In the event of illness or accident I give consent that first aid and medical treatment can be administered by Walton Evangelical Church where considered necessary. Please give details of all allergies / medications etc above. First Aid and medical treatment will be administered where possible by a trained First Aider or by a suitably qualified medical practitioner.
YesNo

I give consent that Walton Evangelical Church can take photographs and videos of my child. Walton Evangelical Church may use these photographs and videos for internal (notice boards and newsletters etc) and external use (including our website our social media platforms including Facebook and Instagram etc).
YesNo

I give consent that Walton Evangelical Church can store my details on the church computer.
YesNo

I give consent that Walton Evangelical Church can contact me in the future to let me know of other relevant activities taking place at Walton Evangelical Church (I understand that I can opt out at any time by contacting the Church).
Email: YesNo
Phone: YesNo
SMS: YesNo
Mail: YesNo
Website & Social Media: YesNo

The protection of your data is extremely important to us. Full details of our Data Privacy Notice can be viewed here (the link opens our Privacy Document in a pdf file in a new tab/window).

I agree to the Terms and Conditions as laid out in the Data Privacy Notice.

Advertising:

How did you find out about the us?: (required)
—Please choose an option—Attend Walton ChurchPosterLeafletChurch WebsiteSocial MediaWord of mouthOther

Please leave this field empty.

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