At Church in the Barn we are commited to safeguarding our young people. In order to do this we require certain information such as medical requirements and emergency contact details.

If your child attends any of the youth clubs run by CitB then please complete the form below to the best of your knowledge. This form will then be submitted to our Youth Worker to be processed and stored securely.

If any details need to be changed after submission please contact us to update the records.

For more information please contact Jari Burnard on 07472186270 or Graham Emerson on 07701011004.