Milton Clip ‘n’ Climb 2025 Sign-up

Milton Clip n Climb Trip 2025

Please pick a project that you attend *

Name of Young Person (first and surname) *

Date of Birth *

Address & Postcode *

Young Person’s Mobile Number *

Email Address *

Gender *

Female

Male

Other

School Attended & Year Group *

In an emergency, who can we contact? (Name, Relationship to young person, Mobile Number) *

Any medical condition, disability or information we might need to know?

Payment of £15 by bank transfer or cash? *

I have paid £15 by bank transfer to Cooperative 08-92-99 A/C No. 67311538 (please reference “MClip (young person name)”)

I will give £15 cash to youth club leader

Photo/Video Permission – Whilst young people are taking part in activities organised by our youth workers we occasionally like to record an event or activity by taking photographs or using a video camera. The images may be used for reports, displays etc or even just as memories for the young people. We are aware of the sensitivity surrounding this issue and therefore will not photograph/video any young person without the consent of their parent/carer.

I give consent for my child/ward to be photographed/videoed during the normal course of the activity.

If you are human, leave this field blank.