Youth's Details
First Name
*
Middle Name
Last Name
*
Preferred Name
Date of Birth
*
Gender
Male
Female
School Attended
*
School Grade
*
-- None --
Pre-school
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
Youth's Email
Tip: If applicable
Youth's Mobile Number
Tip: If applicable
Does your teen have any allergies?
*
Yes
No
Please specify below
*
Does your teen have any dietary requirements we should know about?
*
Yes
No
Please specify below...
*
Does your teen have any medical conditions and/or special needs (physical, mental, learning, emotional, or English as 2nd language), that would be helpful for the leaders to know about?
*
Yes
No
Please specify below.
*
What are your teen's areas of interest? Select as many as you like...
Sport
Animals
Dancing
Computer Games
Athletics
Reading
Movies
Food
Bible Studies
Music
Wide Games
Art
Craft
Design
Drama
Outdoor Recreation
Other
Parent / Guardian's Contact Details
Parent/Guardian's First Name
*
Parent/Guardian's Last Name
*
Parent/Guardian's Email Address
*
Parent/Guardian's Mobile Number
*
Home Address
*
Permissions
I give permission for the above named youth to attend SG Youth under the supervision of the SG Youth leadership team.
*
Yes
No
I give permission, in the case of a medical emergency, to the doctor chosen (either by the church leader or other person supervising), to secure proper treatment for and/or order hospitalisation, injection, anaesthetic or surgery for my child as named.
*
Yes
No
I understand that every effort will be made to contact me prior to instituting such procedures.
*
Yes
No
I give permission for my youth to ride in leaders' cars from time to time when required, providing I am notified when this is happening.
*
Yes
No
I have been given the leadership team's emergency contact details.
*
Yes
No
I consent to photos/videos of my teen(s) to be used on the church website and for the promotion of church activities.
*
Yes
No
I give permission for the above named youth to be added to an SG Youth WhatsApp group with the leaders and their peers.
*
Yes
No
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