5. Extra support needed?

For example because of a disability, or are there activities your child cannot participate in?

NoYes

6. Medical conditions or allergies?

If yes, please provide details of the condition(s) and any medication needed.

NoYes

7. Anything else we should know?

Any other information that may be helpful.

NoYes

Permissions

I give permission for my child to walk home unaccompaniedI give consent for photos/videos of my child to be used for Youth Active mediaI am happy to receive updates and information by emailI have read and accept the code of conduct and terms & conditions

Application Form

1. Child or young person's details

2. Parent or carer's details

3. Emergency contact

4. Child's medical details

5. Extra support needed?

6. Medical conditions or allergies?

7. Anything else we should know?

Permissions

Membership FAQs