Big Church Day Out
Date of Birth
dd/mm/yyyy eg 20/01/2000
Emergency Contact Details
In case of an emergency, please provide an emergency contact for yourself.
Emergency Contact Name
Emergency Contact Mobile
Do you have any medical conditions that we will need to be aware of for when you are attending the Event?
Please give details
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: email@example.com
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
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.
The cost of Big Church Day Out is £50 which includes transport costs. Once the form has been submitted there is a payment link where you will be able to pay by card.