XS Youth - Highschooler Form

We're so excited you're coming along to XS for the first time!

This form is for highschoolers to register themselves for XS Youth.

If you're a parent or caregiver use this different form to register your child

Your name *

Email address *

Phone number *

Birthdate *

School *

If your school is not listed choose "unlisted school"

Gender *

Can photos of you be posted on our Facebook/Instagram page? *

Grade *

Medical note

Do you have any medical conditions, dietary requirements or sensory needs we should be aware of?

Emergency Contact Details

We need the details of an emergency contact. If there's an emergency we'll call this person. Please give the details for an adult (parent/caregiver/family friend etc.)

First Name of Emergency Contact *

Relationship to Highschooler *

Let us know if they're your Mum, Dad, caregiver, family friend etc.

Last Name of Emergency Contact *

Emergency Contact Phone Number *

Any other notes/comments?

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