Vital Registration Form.
First name
Last name
Email
Mobile
Your Date of Birth
Name of your Parish
Please include Parish name and area, for example: St Mary, Willenhall.
Your Deanery
Please select...
Banbury and Warwick
Birmingham Cathedral and South
Birmingham East and North
Coventry and Nuneaton
Dudley and Wolverhampton
Kidderminster and Wocester
Lichfield and Walsall
North Staffordshire
Oxford North
Oxford South
Stafford
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 training 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
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