Youth Club (13-16's) 2024

Please complete 1 form per child

Youth Club Registration.

RRS Members

Sunday 6th July(£5)

Non-Members

Sunday 6th July (£6)

* Child's First Name

* Child's Last Name

Childs Date of Birth

* Radlett Reform Member

YesNo

* Parent's First Name and Surname

Please ensure that you put both your first and surname

Emergency Contact Telephone Number

* Contact Email Address

2nd Emergency Contact Name

2nd Emergency Contact Telephone Number

Doctor's Details

Please advise
1. Dr's name
2. Surgery Name
3. Surgery telephone number

Please advise of allergies or any other medical/educational information that may be relevant

I agree to my child being given first aid treatment by qualified staff on or off the premises, and where necessary to be taken to hospital in an emergency. If I am not contactable I agree to my child being given hospital treatment without me being present.

YesNoPlease tick

I give permission for my child to leave the site unaccompanied at the end of the club:

YesNo

The persons named below are able to collect my child from the club:

I am aware that photos and videos of my child may be taken and used for Radlett Reform publicity, Social Media and the website and give consent for their use in this way

YesNo

You must complete a form for each child individually.

Cancellation Policy

Cancellations that come in 2 weeks prior to the event will be issued a full refund or option for credits for Youth Club Events. No refunds will be given for cancellations within 2 weeks of the event unless the participant has an injury, illness and can provide a note from their doctor, as well as providing a signed statement from the parent or legal guardian confirming that this note is genuine and based upon the opinion of a medical professional. (If you are able to satisfy these 2 requirements then a full refund will be issued or acceptance of credits for future Youth Club Events).

If a cancellation is initiated by Radlett Reform will result in a full refund or choice of credits for future Youth Club Events. To discuss further email youthadmin@radlettreform.org.uk.

Sunday, 6 July, 2025 • 10 Tammuz 5785

Register