Autumn 2025 National Youth Rally Consent Form

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

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

Description

Saturday, 4 October 2025 | 12.30pm to 5.00pm

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

Autumn 2025 National Youth Rally Consent Form

Description

Please Fix the Following