Application Pack We’re really excited that you would like to be a part of the London North East Youth Band! We are a brass band which has been created to support young people in the Salvation Army Christian church and help them to develop spiritually, socially and musically. In addition to this we also aim to be a place where all young people, from all backgrounds, church or otherwise, can feel at home. If you want to be part of a group of young musicians, then you’re welcome! To make sure that we keep you up to date with all the latest news and events, and to make sure that you are as safe as possible when you’re with the band, we do need you to fill in the following application pack. This needs to be done with whoever has parental responsibility for you (however, if you’re over 18 you can fill all of this pack in for yourself). Please complete the following and return it to a member of the Youth Band team, or post it to: Youth Band Admin The Salvation Army Maldon Road Hatfield Peverel Chelmsford CM3 2HS If you need any more information or have any questions, please call: 01245 383013 Thank you!
The Youth Band Team
Registration Form This information is required for the purposes of administering the group, and will not be included in any other database, nor will it be passed to any third party, unless in the interest of safeguarding your child. It may be used by the group leaders to contact the parents of children. It will be held confidentially at London North East DHQ, updated when appropriate and destroyed when no longer required. You have a right to ask for a copy of your information and correct any inaccuracies.
About You…. Corps/Church: (if applicable)
Other Info we need…. Name of Parent with Parental Responsibility:
Child’s Full Name: Known as: Male
Female
Address: (if different from above) (please circle appropriate option)
Date of Birth:
Address:
Post Code: Home Telephone: Mobile Telephone: Email Address:
Post Code: Home Telephone: Mobile Telephone: Email Address:
Emergency Contact Name:
Emergency Contact number:
Instrument played:
Other Relevant information we should know… Known allergies:
Health Problems:
Special Needs:
Other:
Photo Consent … (under 18’s only) I give/do not give The Salvation Army permission to reproduce and publish photos or videos taken of my son/daughter… Name of Child: I understand that these pictures may be used in various forms of publicity, both within The Salvation Army and for external purposes. This may include various forms of publishing including DVDs and websites. Signed Please print name: Date: Relationship to child: (i.e. parent/guardian) Are you a parent with parental responsibility? Yes No (Please circle appropriate option)
Permissions… For THE PARENT (with parental responsibilities) to read… It may be that sometimes your child will be contacted by an adult leader by means of a text or email directly to older children. If this happens, as the parent you should be copied into the message and also another adult leader. Yes
No
(Please circle appropriate option)
For YOU to read… Are you happy to receive ‘Youth Band’ info through texts and emails with the knowledge that your parent/guardian and other adult leader will be copied in for your safety? Yes
No
(Please circle appropriate option)
I have completed this registration form with the correct details to the best of my knowledge. I have read and understood this form… Parent/Guardian Signature: (Under 18’s only)
Your Signature:
Please print name:
Please print name:
Are you a parent with parental responsibility? Yes Date:
No
Date: (Please circle appropriate option)
Youth Band Code of Conduct Do… Treat everyone with respect. Do… Show respect for other people’s property. Do… Behave in an appropriate and respectful manner during devotional times and times of worship. Do… Follow reasonable instructions from members of the Youth Band team. Do… Let the Youth Band team know if you are not able to attend a practice or event. Do… Wear Youth Band t-shirts when playing at an event. Do… Wear seat belts when travelling as a band. Do… Serve each other and build each other up! Do Not… Swear or use abusive language. Do Not… Use mobile phones during rehearsals and events. Do Not… Leave a rehearsal or event without first getting permission from a member of the Youth Band team. Do Not… At any Youth Band rehearsal or event, smoke, drink alcohol or gamble, and do not bring with you any alcohol, drugs or pornographic material. Please Note… If a person is posing a danger to themselves or others by their behaviour, arrangements will be made for them to go home, and they may not be allowed to return to Youth Band activities. This behaviour could include bullying, taking drugs, drinking alcohol or other inappropriate behaviour. For your information, the Youth Band team has also signed a Code of Conduct which includes and agreement that: • They will follow the Salvation Army Safe & Sound policies at all times. • There will always be at least two adults with a group of children at all times. • They will not make personal, social contact with the young person outside of Youth Band business. • Email contact with a person under the age of 18 will be with the parent/guardians consent and will be made through a member of the Youth Band team. If you agree to follow The Youth Band code of conduct, please sign below: Signed: Print Name: Date: