Weekend Away

Child's Name*

Youth Group (Tick any that apply)*

Harbour (Wednesdays Shiregreen)

Thrive (Thursdays Shiregreen)

Forge North Football (Mondays Shiregreen)

Child's Date Of Birth*

Address*

Parent Email*

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Please provide 2 emergency contacts for your child.

Parent/Carer Emergency Contact 1 Name*

Parent/Carer Emergency Contact 1 Relationship to Child*

Parent/Carer Emergency Contact 1 Number*

Parent/Carer Emergency Contact 2 Name*

Parent/Carer Emergency Contact 2 Relationship to Child*

Parent/Carer Emergency Contact 2 Number

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Is your child actively sensitive to penicillin?*

Yes

Any medical conditions that we should be aware of?*

Any medication that your child takes regularly*

Any special dietary requirements*

Child's Doctors Surgery*

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Please read and check the following consents. The first 5 are necessary consents and the last 2 are optional.

I consent to my child attending the summer festival detailed above*

I understand that while my child is at these sessions, they will be under the control and care of leaders approved by Forge Youth*

I understand that my child will be taking part in activities that will be fully supervised and have been risk assessed for the activity and Covid-19, but it is not possible to remove risk entirely*

I understand the right to attend this activity may be withdrawn if my child's behaviour is deemed unacceptable*

I am willing for my child to receive medical treatment in line with the information given, from first aiders and medical staff*

Optional Consents

I consent to Forge Youth and Network Church Sheffield storing and using my contact details to update me on this activity and other activities they are running that may be of interest.

I consent to Forge Youth and Network Church Sheffield taking and storing, footage and photos at this and other activities they are running, which may include my child. I consent to the use of such footage and photos in publicity and fundraising for Forge Youth and their legitimate partners.

Leave blank for security

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Weekend Away

We're going on a weekend away!

When?

Where?

Cost?

Payment

Weekend Away Booking Form