We need to capture contact details and other information about you and your young people who come to Friday Night Life so that we can communicate with you about planned activities and events. This information will also enable the leaders of Friday Night Life to contact you in the event of an emergency during our sessions.

Please complete the following form once per young person.

Young Person's Name *
Young Person's Name
Young Person's Address *
Young Person's Address
Young Person's Date of Birth *
Young Person's Date of Birth
Parent / Carer's Name *
Parent / Carer's Name
Who is also the primary point of contact in case of emergency
e.g. Parent, Grandparent
Address of Parent / Carer
Address of Parent / Carer
If different from Young Person
Name of Additional Parent / Carer
Name of Additional Parent / Carer
Who is also an additional point of contact in case of emergency (optional)
I give permission for my young person to take part in Friday Night Life activities as run by Life Church, including the storing and processing of data submitted in this registration form *
I give permission for my young person to be transported by the leaders of Friday Night Life to activities not within walking distance of the stated meeting point for an activity, or by other appointed DBS checked volunteers from Life Church *
I give permission for my young person to receive emails about activities that Friday Night Life are hosting or are attending elsewhere *
I give permission to receive emails myself about activities that Friday Night Life are hosting or are attending elsewhere *
I give permission for my young person's additional parent / carer to receive emails myself about activities that Friday Night Life are hosting or are attending elsewhere
I give permission for my young person to be photographed at Friday Night Life and have any photographs used by Life Church for promotional materials or in advertising of Friday Night Life activities, which will include descriptions of church youth activities in multiple ways, including but not limited to: the church website, church social media profiles, future Friday Night Life event publicity, email invitations, church email newsletters and the church magazine *
I give permission for my young person to be disciplined for poor behaviour if necessary, through correctional words and follow through actions, e.g. being unable to complete the evening’s activity or being sent home *
I give permission for my young person to be disciplined for poor behaviour if necessary, through correctional words and follow through actions, e.g. being unable to complete the evening’s activity or being sent home *
Data Protection *
Form Completed by *
Form Completed by