1st St. Ives Boys' Brigade and Girls' Association Joining Form

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Address of child

First name and surname of child

Child's date of birth

Sex

Male

Female

Doctor/Surgery address and phone number

Please provide details of any medical conditions, allergies, dietary requirements or additional needs.

Primary contact's name, address, phone, email and relationship to child.

Secondary contact's name, address, phone, email and relationship to child.

Additional emergency contact's name, phone and relationship to child

Photo Consent

I am happy for photographs/videos to be taken of my child during BB activities and used at all levels within The Boys’ Brigade for publicity, communications and publications including social media.

I am happy for photographs/videos to be taken of my child during BB activities for use by the local Company only, for publicity, communications and publications including social media. Photos/video will not be used at other levels of The Boys’ Brigade.

I do not wish any photographs/videos to be taken of my child while they are undertaking BB activities.

Permission

I give permission for my child to join The Boys’ Brigade and to attend and take part in activities organised.

I confirm that the information provided is correct to the best of my knowledge and undertake to notify the Leader in Charge of any changes.

I understand that The Boys’ Brigade requires personal information to ensure the well-being of all children & young people participating in activities as part of their membership.

1st St. Ives Boys' Brigade and Girls' Association Joining Form

Address of child

First name and surname of child

Child's date of birth

Sex

Doctor/Surgery address and phone number

Please provide details of any medical conditions, allergies, dietary requirements or additional needs.

Primary contact's name, address, phone, email and relationship to child.

Secondary contact's name, address, phone, email and relationship to child.

Additional emergency contact's name, phone and relationship to child

Photo Consent

Permission

Name of person completing form and relationship to child.

Date form was completed

Page 1

Address of child

First name and surname of child

Child's date of birth

Sex

Doctor/Surgery address and phone number

Please provide details of any medical conditions, allergies, dietary requirements or additional needs.

Primary contact's name, address, phone, email and relationship to child.

Secondary contact's name, address, phone, email and relationship to child.

Additional emergency contact's name, phone and relationship to child

Photo Consent

Permission

Name of person completing form and relationship to child.

Date form was completed