REGISTRATION FORM Please click the button below to download a printable version of our registration form. Registration Form PDF Alternatively you can complete the form below. Online Registration Form Name of Young Person* Date of Birth* Gender* Male Female Address* Post Code* Contact Number* Email Address of Parent Medical Information / Allergies Special Notes EMERGENCY CONTACT At least one Emergency Contact MUST be provided! Emergency Contact Name* Emergency Contact Number* Relationship to Young Person* Emergency Contact Name Emergency Contact Number Relationship to Young Person CONSENT I consent to my child having his / her picture taken for promotional / website purposes* Yes No I consent to my child being involved in drugs and alcohol awareness sessions* Yes No I consent to my child being involved in sexual health awareness sessions after the age of 13* Yes No I consent to my child being involved in sports and other physical activities* Yes No I consent to my child using a computer and accessing the internet* Yes No Details of person completing this form Name* Relationship to Young Person* Date* Submit All information in this form will be treat confidentially at all times. Under the Data Protection Act regulations parent / carers can request to see any information that is recorded about them or the young person named in this form.