Young Adults Art Retreat
Your Details
First name
Last name
Email
Mobile
Your Parish/Youth Group
Your Gender
Male
Female
This information is used for room allocation. If you need to discuss this please email kristi.doughty@kenelmyouthtrust.org.uk
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 retreat?
Yes
No
Please give details
Do you have any special dietary needs or food allergies?
Yes
No
Please provide details
During the retreat mental health and wellbeing will be discussed. Please let us know in advance of anything we may need to know.
The cost of the retreat
To make the retreat accessible to as many young people the cost varies depends on your circumstances and preferences. Please indicate below which you will be contributing.
Unwaged- £19.00
Waged -£29.00
Single room - £75.00
Transport
We will bee offering transport from a central location such as St Chad's Cathedral. Please let us know if you would like transport.
Yes please.
No, thank 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
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.