Autumn 2024 National Youth Rally Consent Form
Saturday, 5 October 2024 | 12.00pm to 5.00pm | Please complete this form for your young person to attend the Autumn National Youth Rally event.
My young person will be attending the Autumn National Youth Rally due to be held at
Crown Hall
Kidderminster • Droitwich • WR9 0LX
All young people will enjoy a bbq lunch and be able to take part in autumn games held on the property of Crown Hall.
Name of Young Person
*
Address of Young Person
*
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Aberdeen City
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Midlothian
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Monmouthshire
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Neath Port Talbot
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Nottinghamshire
Orkney Islands
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Pembrokeshire
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Poole
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Powys
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Reading
Redcar and Cleveland
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Rhondda Cynon Taf
Rutland
Sawnsea
Scottish Borders
Shetland Islands
Shropshire
Slough
Somerset
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Southampton
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Stirling
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Suffolk
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West Yorkshire
Wiltshire
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Wokingham
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Mobile No. of Parent/Carer
*
Medical Conditions/ Allergies/ Dietary Restrictions
*
I consent for my child to participate in the activities held.
*
Please select all that apply.
I agree
I will not hold Crown Christian Heritage Trust responsible for loss of possessions or injury during the National Youth Rally event.
*
Please select all that apply.
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 *
*
Please select one option.
I agree.
I do not agree.
Name of Parent/Carer (This is Your Digital Signature)
*
Payment
I will pay now. (£15)
I will pay upon arrival. (£0)
I will pay now. (£15)
I will pay upon arrival. (£0)
Amount
Continue to Payment Page
Description
Saturday, 5 October 2024 | 12.00pm to 5.00pm
Please complete this form for your young person to attend the Autumn National Youth Rally event.
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