Kings Arms Consent Form
Registered Charity No. 1087176
* Required
Email address
*
Your email
Young person's contact details
Please complete this form if you would like your young person to engage with the Kings Arms
Young person's first name
*
Your answer
Young person's surname
*
Your answer
Young person's Date of Birth
*
MM
/
DD
/
YYYY
Young person's mobile number
Your answer
Young person's email Address
Your answer
Young person's home address
*
Your answer
Young person's Doctor, Address and Telephone Number
*
Your answer
Young person's School
*
Your answer
Young person's Year Group
*
Choose
Year 6
Year 7
Year 8
Year 9
Year 10
Year 11
Year 12
Year 13
Other
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