Application Form

Diocese of Hexham and Newcastle Pope John Paul II Award Application and Consent Form

"*" indicates required fields

Phone

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

SECTION 1 | Participant Application

Section 1 should be completed by the Award participant.

First Name*

Last Name*

Your Date of Birth*

Select Award*

Your Parish*

Your School*

Your place of worship

Your Mobile Number*

Home/Daytime Telephone*

Your Email Address*

Parent/Guardian Phone Number in case of Emergency*

Your Postal Address*

Postcode Address line 1 Address line 2 Town/City Post Code

I would like to take part in the Pope John Paul II Award. I have read and I will act in accordance with the Award Code of Ethics as I volunteer in my parish and community.*

Yes

Name of your Award Leader

(Read the Pope John Paul II Award Code of Ethics)

SECTION 2 | Parent/Guardian Consent

Section 2 should be completed by the Award participants’ Parent/Guardian.

Parent/Guardian First Name*

Parent/Guardian Last Name*

Parent/Guardian Email Address*

Enter Email Confirm Email

Parental Consent*

I understand that during voluntary activities, photographs may be taken that include my child. I give my permission for these to be used in any print or online promotional material by the diocese.

I understand that during voluntary activities, videos (which may include webcam) may be taken that include my child. I give my permission for these to be used in any print or online promotional material by the diocese.

I have read the Safeguarding Information for parents/guardians at this link.

Medical Emergency: In the event of illness or accident, I give permission for medical treatment to be administered to my child where considered necessary by a suitably qualified medical practitioner and/or hospital. I understand that every effort will be made to contact me as soon as possible.

Please click the boxes if you accept.

I give my permission for my child to participate in the Pope John Paul II Award:*

Yes

Looking for ideas to get involved in your parish?

View the ideas and suggestion of Parish and Social Awareness activities here

Diocese of Hexham and Newcastle Pope John Paul II Award Application and Consent Form

SECTION 1 | Participant Application

SECTION 2 | Parent/Guardian Consent

Looking for ideas to get involved in your parish?

The Award runs in Ireland and the UK, find your diocese below.

If you are an Award participant, you can find all materials required to complete your Award on your Diocese Award page

The Award

About Us

Contact Hexham & Newcastle Award Office