Summer Camp
2024
Parish Leaders
Your details
First Name
Last Name
Mobile number
Email address
Please indicate the Archdiocese you are attending with
Please select...
Birmingham
Northampton
St Andrews and Edinburgh
Glasgow
Arundal and Brighton
Brentwood
Cardiff
Clifton
East Anglia
Hallam
Hexham and Newcastle
Lancaster
Leeds
Liverpool
Menevia
Middlesbrough
Nottingham
Plymouth
Portsmouth
Salford
Shrewsbury
Southward
Westminster
Wrexham
Aberdeen
Paisley
Argyll and the Isles
Motherwell
Galloway
Dunkirk
Please provide your DBS Number here:
Are you a qualified first aider?
Yes
No
Additional details about yourself
Do you have asthma, allergies, diabetes,
epilepsy or and other medical condition that may affect normal
activity?
Yes
No
Please give details of condition & treatment.
Do you have any dietary needs?
Yes
No
Please give details of your dietary needs
T-shirt size
Small
Medium
Large
Extra Large
XXL
XXXL
Next of Kin
Name
Mobile Number
Relationship to you
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
WhatsApp group
We use WhatsApp to communicate both prior to and during camp. It is both a helpful means of communication and a great way to stay in touch with people. If you consent to being added to the Camp WhatsApp group your contact details will be visible to other team members.
I give permission for my phone number to be added to a WhatsApp communication group for the duration of Summer Camp.
Media Consent
I give consent for photographs and video of me to be used for the purposes of promoting KYT events online and in print
Payment
The cost to the Kenelm Youth Trust is £150 per parish leader. Anything you are able to offer to help cover this cost would be really welcome. If you would like to make a donation an email will be sent to confirm how you can send this.
Would you like to make a donation?
Yes
No
Please enter amount below:
Please enter numbers only eg: 40.00
Contact Information