MP YouthLIFE Registration Form • Life Anglican Church

Welcome to YouthLife Marsden Park - we are keen to have you join us!

Youth Group will run on Friday nights during school terms doors open at 6:45 pm with the program starting at 7:00 pm and finishing at 8:45 pm.

Meeting at Marsden Park Anglican College (2 Corcoran St) with offsites once a term (separate permission required).

Please complete the following details to register your child/children for YouthLife.

Youth Details

First Name *

Tip: Your child's first name

Last Name *

Tip: Your child's surname

Preferred Name

Mobile Number

Email Address *

Tip: Your child's best contact email

Mailing Address

Mailing Postcode

Date of Birth *

School

School Year *

Gender *

Medical & Allergies

Parent/Guardian Details

Parent 1 First Name

Parent 1 Surname

Parent 1 Relationship *

Parent 1 Phone *

Parent 1 Email *

YouthLIFE Photo Consent

I DO NOT want photographs taken of my child

Photographs may be taken of my child

From time to time leaders from YouthLIFE may contact your child for encouragement and logistics. NOTE - A copy of the text will be sent to their parent or guardian unless requested otherwise.

Is there anyone of concern we should not allow to pick up your child?

Is there any other information we might find useful?

YouthLIFE Contact Permission

Do NOT contact

YouthLIFE leaders may contact my child

Tip: This regards digital communication with this child, and the copying of any communication to the child's parents.

By submitting this form, I give permission for my child to attend regular activities at YouthLIFE.

I authorise the YouthLIFE leaders, in the event of an emergency, to obtain at my expense any medical, ambulance, rescue or other services that are considered necessary for my child.