Youth Class Participant Info Name of Youth Participant * First Name Last Name Child's Date of Birth * MM DD YYYY Name of Parent/ Guardian * First Name Last Name Guardian's Email * Guardian's Telephone Number * Guardian's Address * Additional Emergency Contact In the case of an emergency we will always first contact the child's listed guardian. If you wish to have an additional contact for the case of emergencies please fill out their details below. Emergency Contact's Relationship to Youth Participant Emergency Contact's Telephone Number From time to time, we may take photos and/ or videos, these might be added to our social media and website. Please indicate if you are happy for us to photograph your child. * Yes No Thank you! Your child is now on our is now registered for our Youth Classes. If any information submitted on this form changes, please contact us to let us know and we will update it.
