JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Root Hill May Camps booking form 2024
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Mini (25th - 27th May for 8-11s) or Main (29th May - 1st June for 11-16s)?
MAIN CAMP NOW FULL
*
£5 'Early bird' discount (per child) if you book before May (i.e £40/£50). Additional £10 discount per extra child in the family.
Mini Camp £45 (plenty of spaces left)
Main Camp £55 ( NOW FULL! you will be added to a waiting list - so dont pay yet)
Required
Name of child (including surname)
*
e.g. Susan Smith
Your answer
Name they prefer to be called (if different)
e.g. Sue
Your answer
Boy or Girl?
*
Boy
Girl
Date of birth
*
MM
/
DD
/
YYYY
Age on camp
*
e.g. 12
Your answer
Anyone they would like to share a tent with
Tents are provided
Your answer
Parent's name (including surname)
If entering details for additional children you can skip this and most remaining questions
Your answer
Which church are you connected with?
Your answer
Your address
Your answer
Home telephone
Your answer
Mobile (Mum)
Your answer
Mobile (Dad)
Your answer
Child's mobile
leave blank if none
Your answer
Give details of any medical issues (including allergies and asthma)
Your answer
Give details of any dietary requirements
e.g. allergies or food intolerances rather than just preferences
Your answer
Are you happy for the Medical Officer to give your child an appropriate dose of paracetamol, if required, without contacting you?
*
Yes
No
Other:
Payment method
*
Please send the full amount (but dont pay anything yet if on the waiting list - we will let you know)
Cheque (payable to D & E Hollands. Send to 11 Crossways Road, Mitcham, CR4 1DQ)
Bank transfer (A/c name Root Hill Camp s/c 30-99-50 a/c no. 54201968)
Paypal (login to paypal, then 'send' to david@ roothill. co. uk (send as 'friend'))
Other:
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
