REGISTER

In order for a child (young person under 18 years) to participate in the youth service we require that their parent/guardian provide us with consent and some key details for our records.

There is no charge for registration

"*" indicates required fields

Parent's Details

Parent/Guardians name(s)*

Parent/Guardian phone number*

Parent's Email Address*

Address

Street Address Address Line 2 City County Eircode

Child's Details

Young person/ child’s name*

Age

Date of birth*

Child's contact Email Address

Child's contact phone number

Youth Centre*

Please note any medical conditions or allergies that your child has and that you feel we should be aware of?

Consent

Sphere 17 RYS processes personal data in line with GDPR regulations. For more information please see our Privacy Notice on http://www.sphere17.ie/policies-and-forms/

This field is for validation purposes and should be left unchanged.

REGISTER

Parent's Details

Child's Details

Consent

CONTACT

LOCATIONS

Sphere 17 – Darndale

Sphere 17 – Bonnybrook

Sphere 17 – Kilbarrack

Sphere 17 – Priorswood