Pre Activity Readiness Questionnaire

Please complete the follow questions in order to register for your activity. This information will be stored securely under our GDPR policy.

Question Title

* 1. Name of young person registering:

Question Title

* 2. Date of Birth:

Question Title

* 3. Emergency contact name:

Question Title

* 4. Emergency contact number:

Question Title

* 5. Please list any medical conditions or anything that we should be aware of:

Question Title

* 6. If you/your young person has a disability, please specify:

Question Title

* 7. Parent/Guardian Email Address (if Under 16):

Question Title

* 8. If Under 16 - I consent to my young person taking part in this activity (print parent name):

Question Title

* 9. I consent to having my photo taken for programme promotion purposes (print parent name if Under 16):

Question Title

* 10. Please select which session you are registering for:

0 of 10 answered
 

T