SCAN Membership Form

SCAN Membership Form

The Students’ Climate Action Network is a network of students on the island of Ireland calling for urgent and radical action to prevent climate breakdown and ensure a just and sustainable future.

This is the form that needs to be filled out in order to sign up to participate as a student member in events and activities of the Students' Climate Action Network (SCAN). The purpose of this form is to ensure that the parents/guardians are fully aware of SCAN activities and to reduce the need for parents to fill out lengthy permission forms for each SCAN event. Before filling in this form please visit the social media pages of the Students’ Climate Action Network or contact us for more information at

You may direct any questions about this form, or about the organisation or its policies to the email addresses listed here:

Main organisation contact: (please note this Gmail is managed by a group of students with support from volunteer teachers)

Teacher volunteer contact: (managed by volunteer teachers only)

You will need a parent or guardian to complete this form. After the form has been completed and submitted it will be printed and posted to the parent or guardian filling out the form.

The information collected in this form will only be used for purposes of facilitating the student named in the form to participate in SCAN events and activities. The permissions granted by parents/guardians in this form below will be regarded as valid from the date that the form is completed online, until the young person named is 18 years old. After this time the student will be contacted by SCAN to ask whether they would like to continue their membership as a SCAN supporter or SCAN youth leader. If the student does not reply their data will be erased.

There are six parts to this form. The form will take approximately 20 minutes to read and complete – but will save time filling out forms for multiple events and activities.

Part A – Membership information.

Part B - Permission to attend events in person.

Part C - Permission to participate in online activities*

Part D – Safety and emergency contact information*

Part E – Medical and other issues*

Part F - Photo and video consent

* Some additional notes about these sections should be read by parents here before completing the form.