Big Day Out Youth Venue - Booking Form
By filling in this form you are saying that you are attending the Big Day Out Youth Venue at St. John's CE Primary School, Blackpool on Saturday 16th May 2026! Parental Consent for Media Capture is part of this form and will require a parental signature to complete the booking.
Name of Young Person
*
First Name
Last Name
Church Name
Youth Leader (if applicable)
Emergency Phone Number 1
*
-
Area Code
Phone Number
Emergency Phone Number 2
*
-
Area Code
Phone Number
Parental/Guardian Email
*
example@example.com
What age will the young person named above be on Saturday 16th May 2026?
*
Please Select Age
11 years
12 years
13 years
14 years
15 years
16 years
17 years
Does the young person have any dietary requirements, allergies and/or additional needs? If yes, please give details below. (Please note: the free hog roast is not included in this booking)
*
If needs are complex we may contact you or the church youth leader to discuss this further
The named young person has parental/guardian permission to leave the venue unaccompanied:
*
Yes
No (Please collect by 1pm)
Photo Permissions
The Diocese of Blackburn (The Church of England in Lancashire) and Blackburn Diocesan Board of Education would like to take photographs or video of you for promotional purposes. The resulting images may appear in our printed publications, on our website or our social media accounts. Please note, any image taken, or information you provide, will not be used for any purposes other than as outlined above.
*
I understand
May we use your child's image in printed form, video, online and social media channels?
*
Yes
No
In order to ensure that your child's image is not included in our event coverage, we would like for you to please provide a reference image of your child for our records, so that we can ensure compliance with GDPR. This will be taken upon arrival at the event.
*
I understand
Signature by parent or guardian (this person must be an adult):
*
If in future you wish to withdraw your consent please email youth@blackburn.anglican.org with the details you wish to have removed.
Submit
Should be Empty: