Becoming Catholic: Over 18 consent form
I am over 18
Your Details
Your First name
Your Last name
Your Email
Your Mobile
Your Date of Birth
House name/number and street name
City
County
Postcode
Please provide any dietary needs here
Please provide any medical details that we may need to be aware of here
Emergency contact details
In case of an emergency, please provide details of who we can contact.
Emergency contact name
Emergency contact number
Relationship to you
CONSENT
Consent to store your information
The information you have provided in this form will be retained by the Kenelm Youth Trust , shared with the group leader of your youth group 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
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.