Page 1 of 6

Recruit form
  1. Recruit form This form is to be completed if your child is joining the Church Lads' & Church Girls' Brigade. OBJECT: The object of the Brigade is to extend the Kingdom of Christ among lads and girls and to encourage faithful membership of the Church.
  2. Details of the Company you wish your child to attend.
  3. Company Name(*)
    Invalid Input
  4. Company Town(*)
    Invalid Input
    The town of where the company is based.
  1. Details of your child
  2. Child Surname(*)
    Invalid Input
  3. Child first name(*)
    Invalid Input
  4. House Number/Name(*)
    Invalid Input
  5. Street Name(*)
    Invalid Input
  6. Town
    Invalid Input
  7. County
    Invalid Input
  8. Post Code(*)
    Invalid Input
  9. Date of birth(*)
    Invalid Input
  10. Male/Female(*)
    Invalid Input
  1. Ethnicity(*)















    Invalid Input
    It would help us if you could chose one of the following. You do not have to, but the information gives us useful statistics. We keep all information confidential. We are registered under the Data Protection Act.
  2. My Child has/not been baptised(*)
    Invalid Input
    This will not affect your membership into the CLCGB
  3. Introduced by
    Invalid Input
    If you have been invited by another parent or a friend of a child please put their name in this box.
  4. Which section will your child be joining?(*)
    Invalid Input
  1. Main Carer (e.g mother / father / foster parent)
  2. First Name(*)
    Invalid Input
  3. Surname(*)
    Invalid Input
  4. House Number/Name(*)
    Invalid Input
  5. Street Name(*)
    Invalid Input
  6. Town(*)
    Invalid Input
  7. Post Code
    Invalid Input
  8. County
    Invalid Input
  9. Home Telephone Number
    Invalid Input
  10. Mobile
    Invalid Input
  11. Email address(*)
    Invalid Input
  12. Relationship to Child(*)
    Invalid Input
  13. Do you have any long term illness, health problem or disability?
    Invalid Input
    (If yes, please describe)
  14. Special Requirements
    Invalid Input
  15. If section not completed we will assume you are a single parent
  16. Do you have a Partner or Second Carer(*)
    Invalid Input
  17. Is anybody in your household in paid employment?(*)
    Invalid Input
  18. Which of the following best suits your current situation?







    Invalid Input
  1. Second parent or carer
  2. First Name(*)
    Invalid Input
  3. Surname(*)
    Invalid Input
  4. House Number/Name(*)
    Invalid Input
  5. Street Name
    Invalid Input
  6. Town
    Invalid Input
  7. County
    Invalid Input
  8. Post Code
    Invalid Input
  9. Home Telephone Number
    Invalid Input
  10. Mobile
    Invalid Input
  11. Email address
    Invalid Input
  12. Relationship to Child(*)
    Invalid Input
  13. Do you have any long term illness, health problem or disability?
    Invalid Input
    (If yes, please describe)
  14. Special Requirements
    Invalid Input
  15. Which of the following best suits your current situation?







    Invalid Input
  1. Are you a UK taxpayer? If so, you can use Gift Aid to make your donations (and eligible membership fees) go further by completing this declaration. If you Gift Aid your donation, the charity can claim Gift Aid tax relief of 25p on every pound you give. Complete the form below and send it to the charity of your choice, together with your donation.
  2. Declaration by donor By ticking the "I would like to Gift Aid" box below I would like the charity to treat all subscriptions or donations I make from the date of this declaration, until I notify you otherwise, as Gift Aid donations. I agree that I understand the Gift Aid scheme. For further information about Gift Aid in the CLCGB visit our website by clicking here.
  3. Gift Aid(*)

    Invalid Input
  4. Photographs(*)
    Invalid Input
    I am happy for photographs of my child to be taken during activities?
  5. Photographs_publicity(*)
    Invalid Input
    I am happy for photographs of my child to be used in national and local CLCGB publicity, publications and websites
  6. Video(*)
    Invalid Input
    I am happy for video/film footage of my child to be taken during CLCGB activities.
  7. Video_publicity
    Invalid Input
    I am happy for photographs of my child to be used in national and local CLCGB publicity, publications or websites.
  8. Security verification(*)
    Security verification
    RefreshInvalid Input