Blind Football Taster Day Booking Form

Friday 18th November 2022

The Royal National College for the Blind (RNC)
Venns Lane, Hereford HR1 1DT

Click here to read more information about the event.

If you need any help completing this form, please contact the Student Enquiries Team on 01432 376 621 or email info@rnc.ac.uk

Young Person Details

Young Person Full Name * Required

Young Person Known as * Required

Young Person Home Address (including postcode) * Required

Young Person Date of Birth * Required

Accompanying Adult Details

Accompanying Adult Full Name * Required

Accompanying Adult Known as * Required

Accompanying Adult Relationship to Young Person * Required

Accompanying Adult Full Name * Required

Accompanying Adult Known as * Required

Accompanying Adult Home Address (including postcode) * Required

Accompanying Adult Phone Number * Required

Accompanying Adult Email Address * Required

Medical & Mobility Information

Is the young person registered blind or partially sighted? * Required

Registered Blind

Partially Sighted

Any additional details?

What eye condition(s) does the young person have? * Required

How does this affect the young person? * Required

Is there any additional information about you would like us to know? (e.g. medical conditions, accessibility arrangements)

Has the young person got any special dietary requirements?

Additional Information

Has the young person played blind football before? * Required

Has the young person ever been sight classified before? If yes, please state the classification. * Required

If travelling by car, please write the vehicle’s registration number.

Parental Consent for Photography

During the weekend, RNC may be taking photographs and video footage which may be used for promotional literature, including prospectus, website and social media.

I am happy for my child to be filmed and photographed. * Required

Yes

Consent Full Name * Required

Date * Required

Please note that by completing this form your details will be held on our student record system and will be used for the purpose of administration, guidance and monitoring. As part of administration process we will send you information and communication relating to your application and admission. Please see our Privacy Policy on our website www.rnc.ac.uk/privacy-policy.

Blind Football Taster Day Booking Form

Friday 18th November 2022 The Royal National College for the Blind (RNC) Venns Lane, Hereford HR1 1DT Click here to read more information about the event. If you need any help completing this form, please contact the Student Enquiries Team on 01432 376 621 or email info@rnc.ac.uk

Friday 18th November 2022

The Royal National College for the Blind (RNC)
Venns Lane, Hereford HR1 1DT

Click here to read more information about the event.

If you need any help completing this form, please contact the Student Enquiries Team on 01432 376 621 or email info@rnc.ac.uk