This membership form must be completed by an 18+ year old parent/guardian of the child being registered.
Since 1971, Hayes Town Chapel Youth Club has been well attended and enjoyed by many local children. We believe that the following form is necessary for the Youth Club to remain successful and enjoyable for all. Fields marked in bold are required. We thank you for your co-operation.
Data protection: Your information will be used only by Hayes Town Chapel for contacting the Parent/Guardian of the child in case of an emergency, and as a point of contact for general notices.
Your Child’s Information:
(Your child must be aged 11-16)