KPTDT’s Amazing Summer 2025 Registration & Consent Form
Please complete the form below if you wish your child/young person to: a) take part in any of KPTDT’s Amazing Summer Programme of Activities 2025, trip to Closeburn Castle, Escape Rooms, Story Telling Session and Tour with Mostly Ghostly and the Old School 80’s Style Disco that will take place at various community venues including, but not limited to Gladstone Hall, Bridgend Community Garden, Three Villages Community Café, Trip destination to Closeburn Castle. There will be adults to accompany all participants between venues. No participants will be left unsupervised. Two adult helpers or appropriate participant adult ratio will always be present at any time. b) be given first aid or urgent medical treatment or for emergency services to be contacted during activity or trip or to attend A&E. Please note the following information before submitting this form: The activities and events covered by this consent include: • All activities/events to be held in the Gladstone Village Hall • All activities/events to be held in Bridgend Community Garden • Trip to Closeburn Castle Escape Room and Tour, and Story Telling Session with Mostly Ghostly including transport to and from • Old School 80’s style disco (All family members welcome. Children and Young People must be accompanied by an appropriate adult) • Walking Bus between venues • Allergens/Dietary requirements • Medical Care • If we need to contact you regarding an emergency/Incident • The use of photographic images for the purpose of further promotion via social media or reporting to funders • Contract of Behaviour and Good Conduct It is the responsibility of the parent/primary care giver to provide the relevant information regarding medical requirements, dietary needs, allergies and provide emergency contact details. Participants will be unable to attend our KPTDT Amazing Summer 2025 until all information is completed and signature added below. If you are unable to complete this online, please call the office on 01848 331435, or email Michelle Johnston info@kptdevelopmenttrust.org
Child/Young Persons Name
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First Name
Last Name
Child/Young Person Date of Birth
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Child/Young Persons Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact Phone Number We may need to contact, you in an emergency, or incident, or to inform you of last-minute changes/cancellations to our Programme ofActivities 2025. Please provide us with an appropriate contact who will be easily reachable and available either at the time of the activity/event andbefore and after.
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Please enter a valid phone number.
Your Name
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First Name
Last Name
Your Relationship to the child/young person
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Please select dietary requirements for the child/young person
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Please Select
No dietary requirements
Vegetarian
Vegan
Gluten Free
Lactose Free
Glucose Free
Please type in the box if the child/young person has any known allergies of any kind. If you have not written anything here we will assume the child/young person has no allergies.
Please type in the box if the child/young person has any known medical conditions that you believe we should be aware of. If you have not written anything here, we will assume the child/young person has no medical conditions we should be aware of.
Data Sharing. We will not share personal contact details with any third parties. We will only keep and use personal contact details to meet the safeguarding needs of the child/young person and to keep you informed of any incidents/accidents/emergencies, and, any short notice alterations or cancellations to our Programme. We will only keep and use contact details to meet the requirements of our funders and for as long as isnecessary e.g. to the end of our Amazing Summer Programme, unless you give us your expressed consent to retain your contact details for us to contact you to share relevant information with you of future events/news. Please tick the box to indicate whether you consent or otherwise to sharing your data with us for the reasons stated above.
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YES
NO
Please type your name in the box below to sign your consent for the child/young person named above to take part in KPTDT Amazing Summer Activities.
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WEEK BEGINNING 17th JULY Please select all the options you wish your child/young person to attend. DROP-OFF at Gladstone Hall 10.30am and PICK-UP Gladstone Hall no later than 3.40pm
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Monday 14th July 10.30am to 12.30pm Den Building
Monday 14th July 12.30pm to 1.30pm LUNCH
Monday 14th July 1.30pm to 3.30pm Nature Crafts
Wednesday 16th July 10.30am to 12.30pm Bug Hunt & Pollinators Workshop
Wednesday 16th July 12.30pm to 1.30pm LUNCH (Camp Fire Cookery)
Wednesday 16th July 1.30pm to 3.30pm Disco Diva & Decor Workshop
Thursday 17th July 10.30am to 12.30pm Disco Diva & Decor Workshop
Thursday 17th July 12.30pm to 1.30pm LUNCH
Thursday 17th July 1.30pm to 3.30pm KPT Village Games
WEEK BEGINNING 21st JULY Please select all the options you wish the child/young person to attend. DROP-OFF at Gladstone Hall 10.30am and PICK-UP Gladstone Hall no later than 3.40pm
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Monday 21st July 10.30am to 3.30pm Trip to Closeburn Castle for Escape Rooms, LUNCH and Mostly Ghostly (only children aged 7 and older can attend)
Wednesday 23rd July 10.30am to 12.30pm Disco Diva & Decor Workshop
Wednesday 23rd July 12.30pm to 1.30pm LUNCH
Wednesday 23rd July 1.30pm to 3.30pm Driftwood Cinema
Friday 25th July 6.30pm to 9.30pm Old School 80's Disco Family Fun at Gladstone Hall with Tuck Shop and Buffet
If you have selected to attend the Old School 80's Disco Family Fun on Friday 25th July, please write in the box below how many people are attending in total.
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Submit
Submit
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