test – HiC

Hiya Membership

HIYA Membership

Member information

* Password

Strength: Very Weak

* Members First Name

* Members Last Name

* Telephone number

* Date of Birth

* Email Address

* Gender

Male

Female

* Address

* Postcode

Section 2 – Parent/Guardian Details

* Parent/Guardian Name

* Parent/Guardian Email

* Relationship to Child

* Contact Number

Section 3 – Medical & Emergency Information

* Emergency Contact Name

* Emergency Contact Number

* Any medical conditions, allergies, or additional needs we should be aware of?

Yes

Yes – Please provide details

Section 4 – Consent, Permissions & Expectations

* Expectations

Expectations - What are you hoping to gain from this youth group?

* Permission

Yes

I give permission for my child/myself to take part in mosque youth activities

* Photos & Videos

Yes

I give permission for photos/videos to be taken during activities for mosque publicity (social media, posters, etc.)

* Rules

Yes

I/my child has read and understood the mosque’s code of conduct and rules (view rules). I agree to follow these rules and regulations at all times and acknowledge that failure to do so may result in membership or access being withdrawn.

* Marketing

I Agree

The mosque may contact me (or my child, if under 18) by phone, email, or text with information about upcoming youth events, programmes, and related activities. Contact details will be used solely for mosque communications and will not be shared with any third parties.

Hiya Membership

Address

Contact Details