Love Harpenden Young Person Permission Form

Age: D.O.B.

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

Any allergies/medication requirements we need to know about:

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!):

BAG PACKING CAFE SERVING

CAKE DECORATING PAMPERING ZONE CAR WASH

HOSTING THE BASE GIVING OUT FLOWERS/BALLOONS/CAKES

Address:

Your Email address:

On Saturday 27th 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)

Church: Your Mobile Number:

Are you available for the prayer/meal/final prep time on Friday 26th June, 5pm-8pm?:

Emergency contact and number during the event:

Name:

Are you available to join us for a post-Love Harpenden BBQ and Pool Party from

6.30pm-9pm on Saturday 27th June?