Name *

First Name

Last Name

Name

First Name

Last Name

Phone

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Photos/Video

I give permission for photo and/or video to be taken of my child for use in promotional material

Social media

I give permission for photo and/or video to be used on social media (e.g. instagram) for promotional purposes

Emergency Medical Care

I give permission for Clovelly Youth leaders to obtain medical treatment for my child in an emergency. I understand that every effort will be made to contact me prior to any treatment.

Code of conduct

Clovelly Youth is a Christian youth group. As such, our expectations of youth at CY are that they are to show love and respect to their leaders, each other and our church property. Please be aware that rude or aggressive behaviour will not be tolerated and youth may sent home if their conduct is in inappropriate for the group. Please confirm you will discuss this with your child prior to their attendance.

I agree to discuss with my child