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Kinver Youth Weekend 2018 Booking Form
Please complete 1 form per child.

God willing, Our Youth weekend will take place on January 26th - January 28th.

Speaker: Mike Jenner (Rugby)
Subject: Fellowship
Age: 11+
Price: £15
Activity: Wolf Mountain – Rock Climbing, Archery & Caving!

Venue:
Friday – Ashwood Park Primary school, 31 Bells Ln, Stourbridge DY8 5DU
Saturday – Wombourne Christadelphian hall, Church Road, Wombourne WV5 9EZ
Sunday – Ashwood Park Primary school, 31 Bells Ln, Stourbridge DY8 5DU

There are 50 Spaces for children aged 11+ on our youth weekend. When capacity is met, we will open a waiting list. Should anyone drop out prior to the weekend, we will upgrade people from the waiting list.

Payment will be made on the day at reception.

Email address *
Childs Full Name *
Your answer
Childs DOB *
MM
/
DD
/
YYYY
Childs CYC/Sunday School *
Your answer
Baptised? *
Childs Gender *
Your answer
Childs Address & Postcode *
Your answer
Parents Names *
Your answer
Parents Address & Postcode (If different from Childs).
Your answer
Parent Phone Number(s) *
Your answer
Parent Alternative Email Addresses
Your answer
Who do you know that is attending the weekend? Please name at least 1 person if possible. *
Your answer
Does your Child have Any Dietary requirements? *
Your answer
I give permission for my child to attend Kinver Youth Weekend & participate in all organised Activities (Rock Climbing, Caving & Archery). These activities will be led by qualified professionals at Wolf Mountain in Wolverhampton. https://www.wolfmountain.co.uk
Relationship to Child *
Your answer
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