Football Tournament 2026: Young person consent and registration form
Parent/Guardian Details
First name
Last name
Email
Mobile
Participant Registration
Please provide the following details for each young person you are registering. To complete the registration details for more than one young person select "add another response" at the bottom of the box below.
Young persons details
First Name
Last Name
Date of Birth
dd/mm/yyyy eg: 21/03/2010
Year Group
Year 6
Year 7
Year 8
Year 9
Year 10
Year 11
House name/Number and Street
City
County
Postcode
Does the participant suffer from asthma, allergies, diabetes,
epilepsy or and other medical condition that may affect normal
activity?
Yes
No
Please give details of condition & treatment.
Does the participant have any special dietary needs or food allergies?
Yes
No
Please give details
For example vegetarian, nut allergy etc
Your parish or youth group
Please select...
Our Lady and All Saints- Stourbridge
St Vincent's
Carlo Acutis Youth Group
Other
What is the name of your youth group?
Please note that there may be other parents and guardians attending this event to watch their young person take part in the tournament.
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
My child and 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.
Medical Treatment consent
In the event that I cannot be contacted by ordinary means, I give permission and consent for my child/young person to receive any necessary medical treatment and authorise the group leader/person in charge to sign any medical documents required by the hospital authorities.
In the event that I cannot be contacted by ordinary means, I give permission and consent for my child/young person to receive any necessary medical treatment and authorise the group leader/person in charge to sign any medical documents required by the hospital authorities.
Contact Information