Mission Team Open Day 9th March 2024

Parent/Guardian Details

First name

Last name

Mobile

Participant Registration

Please provide the following details for each young person you are registering. To complete the registration details for more than one young person select "add another response" at the bottom of the box below.

Young persons details

First Name

Last Name

Date of Birth

dd/mm/yyyy eg: 21/03/2010

Young persons email address

Young persons mobile number

Does the participant suffer from asthma, allergies, diabetes,

epilepsy or and other medical condition that may affect normal

activity?

Yes

Please give details of condition & treatment.

Will you need any access arrangements on the day? If yes, please give more details below.

Does the participant have any special dietary needs or food allergies?

Yes

Please give details

For example vegetarian, nut allergy etc

We are offering a pick up and drop off From Uttoxeter train station on the day. Please tick all that apply

Please pick me up from Uttoxeter train station at 1.15 pmPlease drop me off at 4.30 pm at Uttoxeter train station.I do not need this service

CONSENT

The information you have provided in this form will be retained by the Kenelm Youth Trust and 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 on our website, social media, publications and presentations.