Youth Contact Update

Join the whānau!

"*" indicates required fields

KIA ORA! We are stoked to welcome you to the whānau - fill out the form below to connect with us!

Personal Details

Full Name*

Email Address*

Mobile

Date of Birth*

DD slash MM slash YYYY

Home Address*

Street Address Suburb City Postcode

School*

Year Group*

If other, please type in which school you go to:*

Any allergies and/or dietary requirements?*

Yes

No

Please select from below:*

Vegetarian

Vegan

Dairy-Free

Gluten Free / Coeliac

Lactose-Free / Lactose intolerance

Egg allergy

Peanut allergy

Seafood/Shellfish allergy

Other

If other, please explain:*

Emergency Contact

Full Name*

Email Address*

Mobile*

Expectations

To ensure that youth nights run smoothly and are a rewarding experience, we ask that you note and observe the following conditions.

Consent*

Teens are asked to ensure that their behaviour and conduct at youth will not cause any nuisance, damage or injury to others .*

Consent*

Teens are asked to ensure that they have transport to and from youth gatherings, and in the case where this is not possible - that they will notify the Core team to organise one in liaison with their emergency contact.*

Consent*

The parish will not be responsible for damage or loss of any personal belongings. Please leave your valuables at home. Teens must safeguard their own personal belongings.*

Declaration and Waiver of Liability:*

I agree to the following conditions:

1. I have read and agreed to abide by the above conditions.
2. All the information I have provided is correct and complete.
3. I am responsible for my own health issues, including, but not limited to, diet, medication, allergies, mental or physical illness, etc, during youth gatherings, and resulting from participation at these gatherings.
4. I also relieve the parish and the Core team from all liabilities in the event of any loss, damages, injury or illness incurred while participating in youth gatherings.

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