Register with St Asaph youth club (children under 13 years old)

Your contact details
A description of the section goes here.
Your first name
Your last name
Email address
Phone number
Your address

Please enter a Denbighshire postcode and then click the 'Find address' button.

Alternatively, please type in your address below.
Postcode
Address line 1
Address line 2
Address line 3
Address line 4
Address line 5
Does your child live at this address?
YesNoOtherOther
First name of child's emergency contact
Last name of child's emergency contact
Phone number for child's emergency contact

Additional information
Can your child speak Welsh?
A littleFluentNo
Does your child consider themselves to have a disability or additional learning need?
YesNo
Does your child have any medical issues?
YesNo
If yes, please tell us if they need or use medication.

Consent
Do you consent to your child’s information being held electronically in accordance with Data Protection Act requirements? Data will not be forwarded on and will be used for internal purposes only.
Yes
To comply with the Data Protection Act 1998, do you consent to having any photographs or videos taken of your child used for promotional purposes on social media and Youth Service website?
YesNo

Register with St Asaph youth club (under 13 years old)