Trinity Youth Club


We meet at Trinity United Reformed Church on alternate Fridays from 7pm to 8.30pm.

Subs is £1.00 per session, and there is also a tuck shop.

To keep our records up to date, a completed registration form is required for each child.

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Trinity Youth Club, Registration Form

Child’s name:       ……………………………………………………………………………………………………       

Date of birth:     ……………………………………………………

Address:             ………………………………………………………………………………………………………       

                             ………………………………………………………………………………………………………

                             ………………………………………………………………………………………………………

Postcode:             ……………………………………………………

Emergency Contact Telephone Number 1: …………………………………………………………………………

Emergency Contact Telephone Number 2: …………………………………………………………………………

Email:  ………………………………………………………………

(We will only use this to let you know our meeting dates and activities)

Name /address of own doctor: ……………………………………………………………………………………………………

                                                     ……………………………………………………………………………………………………  

Details of any known

medical conditions: ………………………………………………………………………………………………………………………………………………………………

Details of any food or drug allergies: ………………………………………………………………………………………………………………………………

I give permission for my son / daughter    …………………………………………………………………

to take part in Trinity URC Youth Club activities.

I understand that he/she will be under the control and care of the adults approved by the church and that while those in charge of the group will take all reasonable care of the children, they cannot necessarily be held responsible for any loss, damage or injury suffered by my child during, or as a result of the activities.

In an emergency and/or if I am not contactable, I am willing for my child to receive necessary hospital treatment including an anaesthetic.

Signature: …………………………………………………………………………………

Please print name: …………………………………………………………………… Parent / Guardian

Date:  ………………………………  


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