Register Please read the about page first so you can confirm you understand the club code of conduct! Registration Options Create Profile First Name * Last Name * Email Address * Username (lowercase alphanumeric) * Password (type this twice please) * password strength indicator Additional Info Adult emergency contact information Adult mobile phone * Home telephone Town or Village Name * Details of first young person Full name of first child * Young person date of birth (dd/mm/yyyy) * Important information we need to know (medical etc) Details of second young person (optional) Full name of second child Young person date of birth (dd/mm/yyyy) Important information we need to know (medical etc) Additional information Relationship to children - If Other, please provide details below * ParentGuardianOther Please tell us any other information including additional young people Member options We have read and understood the information about the cafe * We have read and understood the information about the cafe I would like to volunteer occasionally at youth cafe I would like to volunteer occasionally at youth cafe Contact me by phone or text * Yes No Contact me by email * Yes No Photograph permission for club purposes * Yes No Video permission for club purposes * Yes No Complete Registration Submit Form