Youth Rego 2026

Child's Name *

Last Name *

Date of Birth *

Gender *

School Year

School

Adult 1 Name *

Adult 1 Phone Number *

Adult 1 Email *

Adult 2 Name

Adult 2 Phone Number

Adult 2 Email

Emergency Contact Name *

Tip: (Someone different from adult 1 or adult 2)

Emergency Contact Phone Number *

Child Email

Mailing Address

Mailing City

Mailing State

Mailing Postcode

Allergies/Medical Condition/Medication(s) Required *

I give permission for my child to recieve panadol when a leader with first aid training deems it necessary? *

Yes

I give permission for my child to travel home independently (e.g. walk / public transport / bike ride) *

Yes

I give permission for my child to be driven by fully licensed leaders of NR youth (with other NR youth leaders/youth present in the vehicle) where travel may be involved for an activity or necessary for an emergency. *

Yes

If there is another adult who will regularly pick up your child from Pressy Youth (e.g. a grandparent or sibling), please let us know who they are below:

Transport 1 Name

Transport 1 Phone Number

Transport 2 Name

Transport 2 Phone Number

PHOTOGRAPHY

Photos and videos may be used for general purposes within this program and the church community. All images will be stored securely and used only as stated, and children’s full names will not be used with images. If circumstances change, parents/carers can inform us of their wish to withdraw this consent. We will then seek to remove the child’s image where it appears in digital formats but may not be able to retract printed material.

I understand the information above and consent to my child's image being used as indicated: *

Internally - accessible to the church community only.

Externally - used in material available to the public for advertising the activities of the youth group.

None

YOUTH AGREEMENT

At Pressy Youth we have an agreement that ensures our youth group is a fun, welcoming, and safe community where young people can make friends and learn about Jesus.

FUN: We expect everyone at Pressy Youth to feel welcome, feel safe, and have fun together, no matter who they are or what they’re going through, just as Jesus welcomes us.
RESPECT: We expect that youth who attend Pressy Youth will: respect the building and its boundaries we’ve been given for youth, listen to the leaders, respect the other youth who come, and respect that this is a place that honours God.
THINK: We hope that young people at Pressy Youth will think about and engage with the life-changing news of Jesus. If they aren't ready for that, we expect that they don't prevent others from doing so.

My child has read, understood, and agreed to the expectations outlined above at Pressy Youth. *

Parent/Carer Initials and Date (By signing below you agree that all the information on this form is correct, and give permission for your child to participate fully in Pressy Youth activities - supervised by approved youth group leaders.) *