Next: Zuhr Jama’ah 1:15 PM in 1h 30m

01204 524200

Youth Club

For boys aged 11 and over — a place to spend time together in a setting their parents can trust.

Makkah Masjid Youth Club

Youth Registration & Consent

For boys aged 11 years and over · Please complete all relevant sections before attendance.

Fields marked are required.

Youth Registration Form

Young Person’s Details

His age is worked out from this.

Emergency Contact

Medical Information

Any medical issue

Please tell us about any of these:

  • Asthma / breathing condition
  • Epilepsy / seizures
  • Diabetes
  • Severe allergy / anaphylaxis
  • Heart condition
  • Physical condition, disability or mobility need
  • Food or medication allergy — and the reaction / what staff should do
  • Medication needed during sessions, or emergency medication he carries
  • Additional, communication or sensory needs
  • Physical activity restrictions or adaptations

Write “None” if there is none. Tap the (i) to see what to tell us about.

Anything else about his health that staff should know (optional).

Only if you have written a medical issue above

It is used only to keep him safe, manage his participation and respond to a medical emergency, and only staff who need it can see it. If he becomes ill or injured and I cannot be reached, staff may get him urgent medical help, including calling the emergency services.

Attendance & Collection

By applying you agree to our .

Terms and Conditions

Participation

• I give permission for the young person named above to attend and participate in the Makkah Masjid Youth Club and its normal supervised activities.
• I understand that the Club will take reasonable steps to provide a safe environment but that ordinary youth activities may carry some inherent risk.
• I agree to notify the Club if circumstances change that may affect the young person’s safety or participation.

Safeguarding

• I understand that the Youth Club has safeguarding responsibilities and that concerns about a child’s safety may need to be shared with appropriate safeguarding professionals or authorities where necessary.
• I understand that confidentiality cannot be guaranteed where information needs to be shared to protect a child or comply with a legal obligation.

Behaviour & Respect

• I have discussed with the young person the expectation that they treat other young people, volunteers, staff, visitors and property with respect.
• I understand that serious or repeated behaviour concerns may result in appropriate action under the Club’s behaviour/safeguarding procedures.

Data Protection Acknowledgement

• I have read or have been given access to the Youth Club Privacy Notice.
• I understand that the Club will only collect and use personal information for specified purposes and will restrict access to those who need it.
• I understand that I can contact the Club using the contact details in the Privacy Notice about personal-data questions or rights.

Declaration

• I confirm that the information I have provided is accurate to the best of my knowledge. I will inform the Youth Club promptly if important contact, medical, safeguarding or collection information changes.
• I confirm that I have parental responsibility for the young person, or I am authorised to provide this information and consent. I confirm that the information provided is accurate and I will notify the Club of material changes.

Today’s date is added when you apply. You will get a reference number straight away.