Love Harpenden Young Person Permission Form

Name:

Age:

D.O.B.

Church:

Your Mobile Number:

Your Email address:

Address:

Any allergies/medication requirements we need to know about:

Emergency contact and number during the event:

Parent/Guardian Signature (if youre under 18):

I give my permission for photos/video of my child to be used in the newsletters and publicity (inc our website) of the267project
YES/NO

Which of the following activities would you like to spend the most time on
(you will be spending a bit of time on each one!):
CREAM TEA PREP

CAFE SERVING

CAKE DECORATING

PAMPERING ZONE

HOSTING THE BASE

GIVING OUT FLOWERS/BALLOONS/CAKES

CAR WASH

On Saturday 25th June, what times are you available to be involved with Love Harpenden? (circle one)
ALL DAY

JUST THE MORNING (10-1)

JUST THE AFTERNOON (1-5)

Are you available for the prayer/meal/final prep time on Friday 24th June, 5pm-8pm?:

Are you available to join us for a post-Love Harpenden BBQ and Pool Party from
6.30pm-9pm on Saturday 25th June?