Youth Events Registration

Are you coming to one of our upcoming Youth events for the first time? Complete the parental consent form below and save time on the day! If your child is under 16, this form must be completed by a parent/ carer and cannot be completed by a child themself.

Note: This form is only required to be completed once per year, there is no need to complete it for each event your child attends.

Child's Information

Name
Date of Birth
While your child's registration is valid for any Youth Office events across the Diocese, it's important we know where they'll normally attend so that they appear on the correct register.

Parent/Carer Information

Name
Address
I would like to hear about future Youth Office events by:

Medical & Allergy Information

Please list details of any medication your child is required to carry.
Please list any allergies your child has, including to any medications.
Please list details of any dietary requirements your child has.

Emergency Contact

This should be someone other than the parent listed above. In the event of needing to contact someone in an emergency, we will always try the parent/ carer first. This contact will only be used if we're unable to reach the parent/ carer.
Name

Family Medical Practice

Medical Declaration

In the unlikely event of an emergency in which neither I nor my child's emergency contact can be reached, I agree to my child receiving medical treatment, including anaesthetic, as considered necessary by the medical authorities present. The Diocese of Galloway, its parishes, employees, servants or agents will not be liable as a result of signing the form of consent and parents will indemnify the above mentioned in respect of any claim.
Medical Declaration

Registration Confirmation

By submitting this form I confirm that I am the parent/ carer of the child. I understand that I am registering my child to take part in Youth Events run by the RC Diocese of Galloway Youth Office during the current school year. I understand that if any of the information contained herein changes, I can update it by emailing Fr Kevin Rennie, the Diocesan Youth Chaplain, at youth@rcdg.org.uk.
Clear Signature