Autumn 2026 National Youth Rally Consent Form

My young person will be attending the Autumn National Youth Rally due to be held at:
Pioneer Centre
Cleobury Mortimer • Kidderminster • DY14 8JG

All young people will enjoy a hot meal and be able to take part in adventure activities onsite.

Name of Young Person

Address of Young Person

Mobile No. of Parent/Carer

Medical Conditions/ Allergies/ Dietary Restrictions

I consent for my child to participate in the activities held.

I agree

I will not hold Crown Christian Heritage Trust responsible for loss of possessions or injury during the National Youth Rally event.

I agree

I hereby give my permission for those working in conjunction with the Crown Christian Heritage Trust to use appropriate photographs of my child taken during the event in its publicity and publication material and to be displayed at the associated chapels, but to not be used for profit in any way *

I agree. I do not agree.

Name of Parent/Carer (This is Your Digital Signature)

Payment £25

Description

Saturday, 28 November | 12.00pm to 5pm

Please complete this form for your young person to attend the Autumn National Youth Rally event.

Autumn 2026 National Youth Rally Consent Form

Description

Please Fix the Following