Past Team Retreat
Your Details
First name
Last name
Email
Mobile
Emergency Contact Details
In case of an emergency, please provide an emergency contact for yourself.
Emergency Contact Name
Emergency Contact Mobile
Medical and Dietary needs
Do you have any medical conditions that we will need to be aware of for when you are attending the past team retreat?
Yes
No
Please give details
Do you have any special dietary needs or food allergies?
Yes
No
Please provide details
Are you intending to come for the whole weekend or just the Saturday?
Whole weekend
Saturday only
Please indicate if the you will be attending as an individual or with your family
Attending as an individual
Attending with the family
Please indicate how many adults and young people in total will be coming, including yourself.
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
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.
If an error code appears and stops the form from being submitted, p
lease email kristi.doughty@kenelmyouthtrust.com who will be able to assist you.