HYC Reunion Booking form

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Our reunion weekend is taking place at Rock UK Frontier Centre, Addlington Road, Irthlingborough, NN9 5UH, 12th-14th April. The cost of the reunion is £70 and payment information will be sent with your booking confirmation. For further information please contact hilfieldyouthcamp@gmail.com

Camper Name *

Date of Birth *

YYYY

Address *

Camper Mobile Number *

Parent/Guardian Name *

Parent/ Guardian Email Address *

Please list any dietary requirements or allergies:

Please list any medical conditions or medicines taken by the camper (Should be completed by parent/guardian):

In an emergency or if hyc is unable to contact me, I am willing for my child to receive the following treatment or medicines: (Please tick all that apply)

Necessary hospital or dental treatment

Anaesthetic

Ibuprofen

Paracetamol

Name and contact of Camper's GP

Emergency Contact Information

Hilfield Youth Camp Agreement: All those attending Hilfield Youth Camp and any related organised activity (including reunions) are asked to abide by these principles:★ No alcohol or illegal substances on the camp or reunion.★ Not leaving the camp, event or reunion site without the agreement of either one of the Hosts.★ Fully participating in the life of the camp.★ Not to share sleeping accommodation with members of the opposite sex except family members. Anyone knowingly breaking their agreement to these principles could be asked to go home. Leaders must also read and adhere to the current ‘Policies’ document. I have read and am willing to abide by these rules and I am happy for my photo to be used in HYC publicity and the web-site. *

I agree to the Hilfield Youth Camp Agreement

I do not agree to the Hilfield Youth Camp Agreement

Parental / Legal guardian consent: I give permission for my child (named on this form) to take part in the normal activities of Hilfield Youth Camp (wide games, swimming, dance and music workshops, worship, etc). I understand that this may involve travelling in minibuses.I understand that while involved he/she will be under the supervision and care of the adult leaders of the camp. While the adult leaders in charge of the camp will take all reasonable care of the campers, they cannot necessarily be held responsible for any loss, damage or injury suffered by my child during, or as a result of, the activity. *

I, the Parent/guardian of the camper named, give consent for my child to attend HYC Reunion.

I, the Parent/guardian of the camper named, do not give consent for my child to attend HYC Reunion.

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