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
Young Person Known as
Young Person Home Address (including postcode)
Young Person Date of Birth
Accompanying Adult Details
Accompanying Adult Full Name
Accompanying Adult Known as
Accompanying Adult Relationship to Young Person
Accompanying Adult Full Name
Accompanying Adult Known as
Accompanying Adult Home Address (including postcode)
Accompanying Adult Phone Number
Accompanying Adult Email Address
Medical & Mobility Information
Is the young person registered blind or partially sighted?
Any additional details?
What eye condition(s) does the young person have?
How does this affect the young person?
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?
Has the young person ever been sight classified before? If yes, please state the classification.
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.
Consent Full Name
Date
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.