MYRTLE HOUSE YOUTH REGISTRATION FORMS

WELCOME TO MYRTLE HOUSE YOUTH - WE ARE EXCITED TO MEET YOU AND YOUR FAMILY!

Skip the check-in line by filling out the registration form below! The form provides our team with all the information in advance to help them provide a seamless check-in and a safe experience for your family.

When you arrive members of our Youth team will be ready at the Myrtle House Youth Welcome Table.

If you have any questions before attending MH Youth, please reach out to youth@myrtlehouse.org.uk

MH YOUTH REGISTRATION FORM

PLEASE NOTE THIS FORM NEEDS TO BE COMPLETED ONLY ONCE

ARE YOU REGISTERING FOR YOUTH CLUB OR YOUTH DISCIPLESHIP?

MH YOUTH FRIDAYS

YOUTH DISCIPLESHIP SUNDAYS

BOTH

Parent / Guardian Name

Emergency Contact Number

Child #1

Child's Name

Date of Birth

YYYY

Gender

Allergies or any health information

Child #2

Child's Name

Date of Birth

YYYY

Gender

Allergies or any health information

Child #3

Child's Name

Date of Birth

YYYY

Gender

Allergies or any health information

Child #4

Child's Name

Date of Birth

YYYY

Gender

Allergies or any health information

Additional Comments

Occasionally we use photographs or video to advertise our Sunday services on our social media pages and website

If you consent or do not consent to photos and videos of your child being used please check the applicable box below

Yes I consent

No I do not consent