Register Your Child – 4 and over

Please register your children and/or teenagers by filling out the form below

Please note, if you wish to register more than two children, please email us at theufcsgathering@gmail.com

Name of parent/guardians

Email address

Name of child

Age

Details of any medical conditions

Special Dietary Needs

Name of child 2

Age of child 2

Details of any medical conditions - Child 2

Special Dietary Needs - Child 2

Any other information the leader needs to know

Phone number should the leader need to contact you

Name of parent/guardian picking up the child

Address

Parental Consent

Photography Consent

I give consent for my child to be photographed during the event for promotional purposes.

Name of parent/guardian

Date