2026 Summer of Play Registration and Consent Form

2026 Summer of Play Registration and Consent Form

KPTDT’s 2026 Summer of Play Registration and Consent Form

All activities, transport, food and drink, are provided free of charge
Please complete the form below if you wish your child/young person to: a) take part in any of KPTDT’s Summer of Play Programme of Activities 2026, that will take place at various community venues including, but not limited to Gladstone Hall, Bridgend Community Garden, Three Villages Community Café, trip destinations to Closeburn Castle and Wanlockhead Lead Mining Museum. 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. And 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 • Trips to Closeburn Castle Escape Room and Wanlockhead Lead Mining Museum including transport to and from • 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. Your child/children/young person must be accompanied by at least one adult at the finale Wild West themed communmity disco. Participants will be unable to attend our KPTDT Summer of Play 2026 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

First NameLast Name
Child/Young Person Date of Birth
Child/Young Persons Address

Street Address

Street Address Line 2

CityState / 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 of Activities 2026. 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.
Please enter a valid phone number.Format: 00000000000.
Your Name

First NameLast Name
Your Relationship to the child/young person
Please select dietary requirements for the child/young person
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.
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.
Please select all the options you wish your child/children/young person to attend.
Please select from the drop down below if you would like your children/young people to attend a day trip. Bus will pick up from Gladstone Hall at 10am sharp.
Please select from the drop down below if you would like your children/young people to attend a day trip. Bus will pick up from Gladstone Hall at 10am sharp.
If you have selected the Wild West Themed Community Disco, please select how many adults are coming along with your child/young person
Should be Empty: