Register for camp

Fill this in and your church's youth leader will confirm your place. Fields marked * are required.

Your details

The person who is coming to camp. Your parent or guardian, or your emergency contact, has the next card.

First name *

Last name *

Date of birth *

Church *

Contact number *

Email address *

Parent or guardian

Not you — the adult responsible for you. Everyone under 18 has one parent or guardian on their record. They consent on your behalf, and they are who we contact in an emergency.

First name *

Last name *

Date of birth *

Only needed the first time they are recorded — a person's record always carries a date of birth.

Relationship *

Contact number *

Email address *

Consent to attend

I am the parent or guardian named above and I give consent for this young person to attend camp. *

Ticking this records your consent to attend and to medical treatment on the young person's record. It is the consent we hold — there are no paper forms to return.

Permissions

For the young person's parent or guardian to answer. Saying no to any of them does not affect their place at camp.

Photography at camp *

the young person may be photographed and filmed at camp, and those photos and videos shown within the camp community — the last-night slideshow and the camp's own records.

YesNo

Published photos and video *

Photos and video of the young person may be published where people outside camp can see them: the camp website, social media and printed material.

YesNo

Swimming at the lake or beach *

the young person may swim and take part in water activities at the lake or beach, in sessions supervised by the camp's water safety team.

YesNo

Every swimming session is run and watched by the camp's water safety team. Nobody goes in the water without this permission, and non-swimmers with permission stay in the shallow, marked area with the team.

Swimming ability *

How well the young person can swim, whatever the answer above. The water is a lake or the sea — there is no pool — so be honest about the young person's confidence in open water; the water safety team plans around it.

Paracetamol (Panadol) *

A Youth Leader may give the young person paracetamol (Panadol) for pain relief at camp, at the dose on the packet for their age, without contacting their parent or guardian first.

YesNo

Health & diet

Anything the first aid team and the kitchen should know.

Medical conditions

Leave this blank if there are none, rather than writing “N/A” or “None”: anything written here is read as a medical condition.

Dietary needs / allergies

Leave this blank if there are none, rather than writing “N/A” or “None”: anything written here puts them on the kitchen’s list.