Box office: 01491 525050
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Kenton Youth
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What’s On
Plan your visit
Support us
About us
Kenton Youth
Gift shop
Box office: 01491 525050
Donate
Kenton Youth Registration Form
Kenton Youth Registration Form
Name of Child
(Required)
First
Last
Date of Birth
(Required)
Gender
Name of School
School Year
5
6
7
8
9
10
11
Address
Street Address
Address Line 2
Town/City
Post Code
Phone
Child's Email
Parent/Guardian's Email
(Required)
Ethnicity
Please let us know of any particular needs or access requirements they may have so we can best support your child. (These details may include, but are not limited to, Anxiety, Autism, Dyslexia.)
(Required)
Please note any medical information, conditions or allergies we should be aware of:
(Required)
Emergency Contact Information
Contact 1: Name
(Required)
Contact 1: Phone
(Required)
Contact 1: Relationship
(Required)
Contact 2: Name
(Required)
Contact 2: Phone
(Required)
Contact 2: Relationship
(Required)
Permissions and Agreements
Name
(Required)
First
Last
I am a
Parent
Guardian
This field is hidden when viewing the form
Behaviour Policy
(Required)
I have read and agree to adhere to the behaviour policy.
Photography Permission
(Required)
I give permission for my child to be photographed or filmed.
I do not give permission for my child to be photographed or filmed.
Walk Home Alone
(Required)
I give permission for my child to walk home alone after their session.
I do not give permission for my child to walk home alone after their session.
This field is hidden when viewing the form
Privacy and Cookies
(Required)
I have read and agree to the privacy policy.
How did you hear about Kenton Youth?
The Kenton website
The Kenton email newsletter
Facebook
Instagram
A school
A friend or family member
At The Kenton
Local press
A poster or leaflet
Other
