Young Person's Name *

First Name

Last Name

Young Person's Contact Number *

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Parent / Guardian's Name *

First Name

Last Name

Parent / Guardian's Contact Number *

(###)

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Consent *

INVOLVEMENT CONSENT: I being the parent/guardian of the said young person hereby give my consent to be transported by bus under the supervision of EveryYOUTH Leaders (Ps Simon & others). MEDICAL TREATMENT CONSENT: I being parent/guardian of the said child understand that whilst every precaution will be taken to ensure the good welfare and protection of my child, Everyone Church, its staff and volunteers acting on behalf are hereby released from any and all liability in the event of any accident or misfortune, damage or loss that may occur to the child and their property. In the case of an emergency, I hereby give permission to the First Aid Staff to ensure proper treatment for my child. I understand that every effort will be made to contact me before instituting such procedures. SUPERVISION POLICY: EveryYOUTH will provide supervision for the event in collaboration with Youth Alive (the event organisers). Young people will not be able to leave the site of the event and must travel to and from the event in transport organised by Everyone Church (unless another arrangement has been organised prior to the event in writing with approval from Ps Simon). PRIVACY POLICY: Everyone Church is committed to protect the privacy of an individual’s information. Please refer to the Privacy policy on our website.

UNDER 18's: I consent as the parent / guardian (listed above) of the young person to the above conditions.

OVER 18’s: I consent as the person listed above to the above conditions.