Register

Fields marked with * are required.

Young Person

First name of Young Person *

Last name of Young Person *

Date of Birth (DD/MM/YYYY) *

Email *

Mobile

Health Declaration

In the event of an emergency it is vital we have the correct information for your son/daughter's health priorities. As well as up to date contact information for the Parent/Gaudian. Any known allergies or disabilities

Parents/Guardians

If more than one Parent/Guardian address, please specify below.

Parent/Guardians name *

Parent/Guardian address *

Emergency contact number *

By ticking here you are giving your consent that the information filled out in this form is correct to the best of your knowledge and that you are the parent/guardian of the young person detailed above.

From time to time the project takes photos on event evenings and days. These photos are sometimes used for publicty. If you wish for photos containing images of your child not be used please tick here: