XS Youth - Parent/Caregiver Form

We're so excited your child is coming along to XS Youth for the first time!

This form is for parents/caregivers to register their child for XS Youth

If you're a highschooler use this different form to register yourself

Your name *

Email address *

What's your relationship to the child you're registering? *

Phone number *

If there's an emergency we'll call this number.

Gender *

Household members

Add the highschooler you are registering by selecting "add child"

Fill out the medical notes if your child has any medical conditions, dietary requirements or sensory needs we should be aware of.

If you'd like to add contact details for another emergency contact please select "add adult"

I have added in the details for the child I am registering *

If you haven't please go back to the previous question.

I would like to receive XS Youth's weekly newsletter

On Wednesdays we send out an email newsletter with details of what's coming up at XS. If you'd like to receive this newsletter, select the check-box and you'll be automatically subscribed.

Any other notes/comments?

A copy of your responses will be sent to your email address.