Born for This Under 18 Consent Form
Parent/Guardian Details
First name
Last name
Email
Mobile
Please enter your mobile number with no gaps.
Participant Registration
Young Persons details
First Name
Last Name
Date of Birth
dd/mm/yyyy eg: 21/03/2010
Parish/group
Your group Leaders Name
Does the participant suffer from asthma, allergies, diabetes,
epilepsy or and other medical condition that may affect normal
activity?
Yes
No
Please give details of condition & treatment.
Does the participant have any special dietary needs or food allergies?
Yes
No
Please give details
For example vegetarian, nut allergy etc
Born for This Performance.
Born for This is a moving and powerful depiction of the Stations of the Cross in words, music, and drama, created by Joe Boyce and CJM.
Please indicate which workshop your young person would be most interested in.
Narration
Drama
Dance
Music
The young people will be giving a performance and family and friends are welcome to come and watch.
Will you be coming to watch the performance?
Yes
No
How many guests will be attending?
CONSENT
The information you have provided in this form will be retained by the Kenelm Youth Trust. The information provided will be used for the purposes of communicating with you about the event you are registering for and other opportunities that might be of interest to you. This information will be stored securely for 3 years. If at any point you want this information deleted please email: kristi.doughty@kenelmyouthtrust.org.uk
I consent to my information being stored and used as detailed above
KYT send out email newsletters once or twice per month about opportunities for young people and those who work with them. It is one of our key ways of communicating the many great opportunities offered by the Trust.
You can unsubscribe or change your preferences at any time.
Please sign me up to the monthly newsletter
Media Consent
My child and I consent to photographs and video's being used to share about the work of the Kenelm Youth Trust and the Archdiocese of Birmingham on our websites, social media, publications and presentations.