Summer Camp 2026 Wait List-Service Team
Parent/Guardian Details-
Parent/guardian details are needed as these are used for emergency contact details as well as communicating about being on Service team.
First name
Last name
Email
Mobile
Please indicate which Archdiocese you are from
Please select...
Birmingham
Northampton
St Andrews and Edinburgh
Glasgow
Arundal and Brighton
Brentwood
Cardiff
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
Second emergency contact: In the event the primary contact can not be contacted, please give a second emergency contact here.
Emergency contact name
Emergency contact number
Relationship to young person
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
Gender
Female
Male
House name/Number and Street
City
County
Postcode
Does the participant have 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 you have registered have any dietary needs?
eg: Nut allergy, Vegan.
Parish Attended
School Attended
Preferred accommodation
Camping
Dormitory
Please provide the names of anyone you will be sharing a tent with and the size of the tent.
For example: sharing with Joe Bloggs and John Jones, 3 man tent.
T- Shirt Size
Small
Medium
Large
Extra Large
XXL
XXXL
Can the young person ride a mountain bike?
Yes
No
Activities Consent
Please read through the consent statements below for our activities which the young people will be taking part in during Summer Camp.
Please note, if you do not consent, your young person may not be able to take part in the planned activities.
If you have any concerns before consenting, please email Beccy at beccy@roseman@kenelmyouthtrust.org.uk
Activities Consent
My child/young person and I consent to my child taking part in on site castle activities that may include, biking, climbing, abseiling, trekking, archery fire lighting, survival or low ropes. (please be advised that young people will take part in a selection of these activities and we can't promise which ones so please be cautious in sharing this information with them - we wouldn't want to disappoint anyone!)
I consent
My child/young person and
I consent to my child taking part in games on site which can include inflatables, silly games, messy games and structure playtimes such as football.
I consent
My child/young person and
I consent to my child taking part in a surprise activity off-site which could involve indoor adventurous soft play, watersports, snow-based activities, climbing or inflatables. ( We love to keep the
surprise
day a
surprise
so please be cautious if sharing any of this information with your child! Shh!! )
I consent
If the off site activity is water based please tick all the statements that are true for the young person you are registering.
Able to swim 50 meters.
Is water confident in a pool.
Is water confident in inland water.
Is safety conscious in water.
Consent to store your information
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
Newsletter
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/young person and I give permission for photographs and video of my child to be used for the purposes of promoting the work of the Kenelm Youth Trust on social media, our website and other promotional materials.
I /we consent
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.
I consent to my child/young person receiving necessary medical treatment in the event I cannot be contacted.
I give permission for paracetamol to be administered for minor ailments e.g. for a headache
I give permission for Ibuprofen to be administered for minor ailments e.g. for a headache
Scottish Dioceses
If you are travelling from a diocese in Scotland we would like to share the information you have provided in this form with your diocesan or parish youth leaders who will be accompanying your child for Summer Camp.
I consent to the information I have provided being shared as described above
Payment
If a place becomes available we will email to confirm and ask for a £50 non refundable deposit.
Please note that once you have submitted the form, changes can not be made. If you would like to review your form before submitting please check before pressing the submit button. Alternatively, if you need to make any changes after submitting, please email kristi.doughty@kenelmyouththrust.org.uk
Contact Information