Young person's Name *

First Name

Last Name

Young person's date of Birth *

MM

DD

YYYY

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent/ Guardian name *

First Name

Last Name

I would like to be added to the Youth Parents Whatsapp group

We will use this to communicate with you about events and socials within Youth

Yes

No

I consent for myYoung person to take part in organised Youth activities/ visits *

I consent to receive communications regarding Youth: *

Please tick every option that you consent to receive communications through

via email

via phone

via txt

via post

We regularly take photos during Youth

I give consent for my young person's photo/ image to be used in printed and online marketing

I understand that it is my responsibility to keep my young person's record up to date. I understand that Sutton Vineyard accepts no responsibility for damage or loss of personal items brought into Youth. Signed: *

First Name

Last Name

Date signed: *

MM

DD

YYYY