WCY Registation • ANGLICAN PARISH OF DALKEITH

At WCY we meet to build solid Friendships, have Fun and encourage one another in the Faith.

Who: Everyone in years 7-12 is welcome. In term 4, we welcome those in year 6 as well!

When: Each Friday night of the school term from 6:30-8:30pm.

Where: Dalkeith Anglican Church.

Cost: We ask for small donation each night/term so that we can provide some snacks.

Please share some details so that everyone can be kept save on Friday night.

This person will be the primary contact for information and emergencies.

Parent/Guardian First Name *

Mobile Number *

Parent/Guardian Last Name *

Email Address *

First Name *

Last Name *

Gender

Date of Birth

School Grade

Will they turn 18 this Year? *

Yes

Do they have any Allergies or food intolerances?

Yes

Please give details

Once a term we seek to have a local combined youth event or planned activity. We will always give full information to parents prior to the event.

In the case of a WCY event, do you give permission for this youth to travel in the car of a fully licensed WCY leader?

Yes

West Coast Youth Registration