Young Archaeologists’ Club Branch membership form
Date:
Please complete this form and return it to one of the volunteers at your child’s YAC Branch.
We will ask you to update this form once a year. Please let us know if any of the details
change in the meantime. We will keep these details securely and only use them for the
purpose of running the Branch. If you would prefer to speak to us privately about any of the
information requested below, please let us know.
Child’s details
Name:
Date of birth:
Address:
Parent/carer’s details: this person will be contacted first in an emergency.
Name:
Home telephone number:
Mobile telephone number:
Email address (we will use this to let you know about upcoming activities):
Address, if different to child’s:
Second emergency contact, in case we cannot reach the first contact in an emergency.
Name:
Relationship to child:
Telephone number(s):
Medical information: to help us care for your child in an emergency. If you would prefer to
speak to us privately about any of your child’s needs, please let us know.
Please list any medical conditions or allergies that your child has:
Please list any medication that your child takes and provide details of how and when this is
administered (for example, Epi-pens). Please make sure that your child brings their
medication to every session.
Doctor’s surgery:
Doctor’s surgery telephone number:
Additional needs: if you would prefer to speak to us privately about any of your child’s
needs, please let us know.
Please explain any additional needs that your child has, in order that we can provide them
with the best support:
Please describe any successful support strategies that are used at home or at school:
Photographs
Your YAC Branch volunteers may take photographs or videos of your child during activities.
With your permission, we would like to use these to promote and celebrate the YAC in print
and online.
Your local YAC Branch is part of a national network of Branches which are co-ordinated by
the Council for British Archaeology (CBA). YAC Branch photographs are sometimes used by
the CBA in, for example, advertising leaflets, the CBA’s magazine British Archaeology, the
CBA’s websites and social media pages.
YAC and the CBA have strict rules on the use of photographs, and we will never publish
personal information about your child with their photographs without your express
permission.
Any photographs taken at your YAC Branch are kept and accessed only by your YAC Branch
volunteers and CBA staff. We will keep them securely and may use them at any time in the
future.
If you have any questions about how we use photographs, please speak to the team at your
Branch or contact YAC staff using the details below.
We would like to record your and your child’s permission for us to take and publish these
images, so if you agree please complete the details below.
Parent/carer’s name:
Parent/carer’s signature:
Child’s name:
Child’s signature:
Date:
Branch Leaders: Parents/carers should be asked to review this form once a year and make
any changes needed. If the information has not changed please ask the child’s parent or
carer to sign and date here to confirm this.
If you would like to discuss any of the information we have asked for on this form, you are
very welcome to contact YAC head office using the details below.