Youth Consent Form 2024-25 Child 1: Full nameChild 2: Full nameChild 3: Full nameChild 1: Date of Birth (DD/MM/YY)Child 2: Date of Birth (DD/MM/YY)Child 3: Date of Birth (DD/MM/YY)Home addressAllergies/intolerances (including to medication)Medical conditions (e.g. asthma)Any other information that would be helpful for us to knowEmergency contact no.Parent/carer name(s)Parent/carer emailI give permission for my child(ren) to attend Connect/United, and for my child(ren)'s details to be stored by ChristChurch, Tilehurst for purposes as considered necessaryShould there be any change to the details given on this form I understand that it is my responsibility to inform the main leaderIn the unlikely event of illness or accident I give permission for any necessary emergency first aid or medical treatment to be given. In an emergency and if I am not contactable, I am willing for my child to receive hospital treatment, including an anaesthetic. I understand that every reasonable effort will be made to contact me as soon as possibleI give permission for photographs or video to be taken of my child during Connect, United or any other church-related activity, to be used for promotional purposes, such as on the website, in print or on social media (their full names will never be used with their photos) 74 plus 1 = leave this one twenty seven thousand