Stir – Bridgnorth Youth and Schools Project

Dates
Consent
Volunteers

Welcome to the dedicated Stir Group page. Stir meets on Sunday evenings from 6.00pm – 8:00pm at The Bridge Youth Centre.

The aim of Stir is to create an environment where faith conversations can naturally occur in a safe, fun way. Our Stir group launched in 2016 and many young people have enjoyed the programme over the years.

If you’d like to join this group or would like to know more, please use the contact form below.

Dates

10th September
24th September (Baptist Church)
8th October
Saturday 14th October (Stir Gathering at All Saints Wellington)
29th October
Thursday 2nd November (Anchored Event
12th November
19th November (Hikaru Book launch at All Nations Telford – This won’t be a trip, but everyone is invited)
26th November
10th December
7th January
14th January
28th January
11th February
25th February
17th March
24th March

Young Person's Details

This form is to be filled in by any parent or carer who wishes their child to attend activities managed by Bridgnorth Youth & Schools Project & The Bridge Youth Centre. The Bridgnorth Youth & Schools Project runs both the activities of The Bridge Youth Centre and its own activities. The data provided on this form will be held by both the Bridgnorth Youth & Schools Project and The Bridge Youth Centre. It will not normally be disclosed to any other third party and it will only be used to assist in managing activities effectively, safely, and to fulfil safeguarding responsibilities.

Young Person's Name *

First

Last

Date of Birth *

Young Person's Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Parent/Carer Section

Parent/Carer Name *

First

Last

Parent/ Carer Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

ADDRESS OF PARENT / GUARDIAN DURING THE RESIDENTIAL IF DIFFERENT FROM THE CHILD’S ADDRESS ABOVE:

Parent/ Carer Phone *

Please provide the most accessible phone number

Parent/ Carer Email

Confirm Email

Medical Information

Doctor's Surgery *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Please fill in as much as you know about the surgery you attend.

Known Conditions

Please give details of any disabilities or medical conditions of which we should be aware

Dietary needs

Please give details of any special dietary requirements

Consent

Consent (Please tick to confirm) *

I give permission for my son/daughter to take part in Bridge session, trip or event related to this form entry.
I understand that the leaders and those organising these activities will take all reasonable care in looking after my son/daughter but they cannot necessarily be held responsible for any loss or damage to property during, or as a result of, the session, event or trip.
In an emergency, if I cannot be contacted despite all reasonable attempts to do so by the leaders and organisers of the activity, I give permission for my son/daughter to undergo emergency medical/dental treatment, including the use of anaesthetics, as considered necessary by the medical authorities.
I understand that if my son/daughter grossly misbehaves that the management may forbid them from further participation. I agree to pay for deliberate damage to property caused by my son/daughter.
I give permission for The Bridge Youth Centre & Bridgnorth Youth & Schools Project to process the personal data given on this form for use in relation to my child taking part in activities. All information is kept in line with current data protection legislation. To view our privacy policies please visit: www.bridgnorthyouthandschoolsproject.co.uk www.thebridgeyouthcentre.co.uk
I understand that videos and photographs of young people attending activities may be taken by participants and staff and attendance at the activity signifies agreement that these may appear in future publicity or other materials produced for The Bridge Youth Centre and the Bridgnorth Youth & Schools Project. (*Personal information is never disclosed when such materials are used, unless permission is obtained.)

If you’re concerned about any of these, please come to speak to us.

Parent/Carer Signature (Type your full name) *

THIS SECTION MUST BE SIGNED BY THE PARENT OR OTHER ADULT WITH PARENTAL RESPONSIBILITY.

Over 13's Signature (Type your full name)

THIS SECTION MUST BE SIGNED BY THE ATTENDING YOUNG PERSON IF THEY’RE OVER 13 YEARS OLD.

Volunteers

Your Details

Name *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

WHAT IS IT THAT INTERESTS YOU ABOUT STIR AND WHAT DO YOU FEEL YOU WOULD BRING TO THE YOUNG PEOPLE?

Reference 1

Reference 1 should be from an employer. They also need to be happy to confirm your suitability, which we will do by email and a confirmation phone call. Young Volunteers should use a parent/ trusted adult as a reference.

Reference 1 Name *

First

Last

Reference 1 Email *

Reference 1 Phone Number

Reference 2

This reference should be from someone who knows you well, who isn’t a family member. They also need to be happy to confirm your suitability, which we will do by email and a confirmation phone call. Young Volunteers should use a parent/ trusted adult as a reference.

Reference 2 Name

First

Last

Reference 2 Email

Reference 2 Phone Number

Please sign your name *

I understand that an offer for interview will be subject to the information on this application form being complete and correct. I agree that personal data relating to me which has been or is being obtained by Bridgnorth Youth & Schools Project, including data given by me on this form, may be held and processed either on computer or in manual records and may be disclosed to authorised personnel and used for any purpose relating to my application.

Cover Letter (Please feel free add any more details in the box)

Please feel free add any more details in the box

Upload CV (If you have one to show us)

Click or drag a file to this area to upload.