Kids and Youth registration form

This form is to register your kids or youth for a Wildfires venue once you have booked a ticket for them. Click HERE to buy tickets.

Click HERE to see our latest Safeguarding Policy Document.

Child/Young Person Registration form

If you are human, leave this field blank.

01. Details

This form is for registering Children and Young People between the ages of 3 and 17 years

First Name *

Surname *

Date of Birth (DD/MM/YYYY) *

Age at event *

Which church will you be going with? *

Who does the child/young person live with? *

Adult 1 Name: *

Relationship to Child/Young Person *

Adult 1 Email *

Adult 1 Phone *

Adult 2 Name:

Relationship to Child/Young Person

Adult 2 Email

Adult 2 Phone

Child/Young Person contact number (where appropriate):

02. Password

Sparks, Blaze and Ignite children will receive a collection card which you will need to collect your child. If you lose your collection card, you can use your chosen Security Word.

Security Word

03. Medical

Allergies
(e.g. Peanuts, dairy...)

Dietary requirements
(e.g. Gluten free, vegan…)

Medication
(e.g. EpiPen, Epilepsy meds…)

04. Groups

Which group will the Child/Young Person be attending? *

(Blank)

Does your child/Young Person have any additional needs?
(e.g. ADHD, Epilepsy, autism, visual/auditory/mobility impairment…) *

05. Additional Needs

PRE-SITE CONTACT INFORMATION:

Name of Pre-Site Contact Person: *

Contact Number *

Relationship to Child/Young Person: *

ON-SITE CONTACT INFORMATION:

Name of On-Site Contact Person: *

Contact Number *

Relationship to Child/Young Person: *

Please briefly describe your Child/Young Person’s Additional needs? *

How do you think this might impact their ability to participate in activities? *

Does your Child/Young Person receive additional help at school/college? *

Please give details

Does your Child/Young Person have any medical condition that may require additional action or administration of medication?
(e.g. seizures, gastrostomy feeding) *

Please give details

Does your Child/Young Person use a mobility aid?
(e.g. wheelchair, walking aids or any other additional equipment) *

Please give details

Does your Child/Young Person require any visual support? *

Please give details

Does your Child/Young Person require any auditory support? *

Please give details

Does your Child/Young Person have any learning disabilities that may affect them to participate in activities? *

Please give details

Does your Child/Young Person have difficulties with their speech? *

Please give details

Does your Child/Young Person use any alternative forms of communication?
(e.g. Makaton, BSL, communication book, Picture cards…) *

Please give details

Are there any situations or activities which are likely to trigger behaviours in your Child/Young Person? *

Please give details

During unsettled times, do you have techniques to help calm your Child/Young Person? *

Please give details

Is your Child/Young Person likely to abscond? *

Please give details

Photo and video permission? *

By ticking this box, you are signing that all the information is true and correct *

By ticking this box, you are signing that all the information is true and correct

Sign here *

This form is to register your kids or youth for a Wildfires venue once you have booked a ticket for them. Click HERE to buy tickets.

01. Details

02. Password

03. Medical

04. Groups

(Blank)

05. Additional Needs

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