Jubilee Church London — Youth
Important: This is mandatory. Your child cannot attend Newday 2026 with us unless this has been completed.
* indicates a required field.
Your email and your child’s basic details.
UK mobile: 11 digits starting with 07, or +44 7… (spaces optional).
For this event, the young person must be 19 or under.
UK format — as it would appear on an envelope or parcel label.
Country for International Day and a clear photo of your child.
This is when we celebrate all nations represented in Jubilee Youth.
Your child must be the only one in the photo. JPEG, PNG, WebP or HEIC, up to 10 MB.
Someone we can reach if we cannot reach you.
UK mobile only: 11 digits starting with 07 (spaces optional). Use +44 7… if you prefer.
As the parent or guardian of this child, I delegate responsibility for authorising serious emergency medical treatment to the staff members in charge of their youth group. I understand that every effort will be made to contact me before such treatment is authorised.
For each question, choose Yes or No. If you answer yes, give details in the box that appears.
Does your child suffer from any medical conditions? *
Is your child currently taking any medication? *
Does your child suffer from any food intolerances or food allergies? *
Does your child suffer from any other allergies? *
Is your child allergic to any medication (e.g. penicillin)? *
Does your child have any other additional needs we should be aware of (e.g. sleepwalking, bed-wetting)? *
Does your child have a disability, special needs, or accessibility needs we should be aware of? *
Does your child have an EHCP (education, health and care plan) that we should know about? *
Our first-aid and safeguarding team will not give your child any prescription medication unless the following section is completed.
Please complete the boxes below if your child takes any regular medication. If any field is filled in, you must answer self-administration and tick the confirmation below.
I understand that I must deliver all medicines personally to a member of the Jubilee Youth staff team and accept that this is a service which Jubilee Church is not obliged to provide. I understand that all medicine must be clearly labelled with the child’s name and within its use-by date.
Confirm and sign to complete the form.
27/03/2026
This will be recorded automatically as today’s date when you submit the form.
By submitting, you confirm the information is accurate to the best of your knowledge.