HVY - Term 1 Registration • Hope Valley Church

Date & Time

30 January, 2024 4:15 PM - 15 April, 2024 9:00 PM

Type

Quantity

Preference - Pay per week

Quantity

Preference - Pay per week 0

Youth Registration

First Name *

Last Name *

Date of Birth

Gender

Youth Mobile Number

Youth Email Address

School Grade *

Guardian Agreement

Photography Permission *

Yes

I/we give permission for the above named to attend HVY.
I/we understand that if my child(ren) needs medical attention, I/we will be contacted immediately.
I/we accept that volunteers and staff connected with HVY will take every care, and cannot be held accountable for personal injury, loss or theft of property affecting my/our child(ren).
Consent for photography permission relates to communication and promotion of HVY. We cannot guarantee that your childs photo is not forwarded or shared by an external recipient.
Please note that if your child(ren)'s behavior becomes inappropriate or unmanageable, OR if they are found to be in possession of inappropriate items, parents will be contacted, and suitable strategies will be put in place along with arrangements for possible departure.

I have read and understood the above. *

Yes

Youth Medical Information

Do you have any allergies/medical conditions?

Please provide us with full details of your allergies/medication plan.

I have read, understood, and agreed to the Hope Valley Youth Culture Statement. *

Yes

Parent/Guardian Emergency Contact Information

Emergency Contact Name *

Emergency Contact Email *

Emergency Contact Number *