Kairos Booking form 2024
For booking a young person or leader
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Full Name *
I am a young person or leader? *
Date of Birth *
MM
/
DD
/
YYYY
Age on site *
Address, including postcode *
Mobile number *
Email address *
Church / Group Attending with on site: *
Name of Youth leader on site
Emergency contact name *
Emergency contact mobile number *
Emergency contact relationship to you *
I agree that the named person (if under 18) can attend Kairos 2024 & the named person is under the care of their named leader while at Kairos (to be signed by someone with parental responsibilities)   *
Required
I give permission for the named person to be photographed & videoed on site to be used for the website & publicity? *
I give permission for these details to be used for future Kairos events*  ? *
Required
I am booking for *
If you are opting for the catered option do you have any special dietary requirements? please give details  *
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