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Kinver Camp Booking Form 2019
Please complete 1 form per child.

God willing, camp will take place at St Madoc youth centre, Llanmadoc, Swansea SA3 1DE.
The dates to put into your diary are 17th - 24th August 2019

There are 50 spaces for Campers Aged 11+, Priority will be given to campers who attended Kinver Camp 2018 initially.
If camp is full, you will be entered onto the waiting list.
Please be aware, even though there may be space on camp, your child may be entered onto the waiting list should the ratio of Boy to Girl be met early. (Due to Dorm layout, we can only allow for a certain breakdown of boy to girl ratio, further details of this will be provided as camp starts to fill up).

When you have completed this form, a place on camp will be reserved for you/your child.
A consent form will then be Emailed to the below stated Email address which will need to be signed & returned alongside the £50 deposit, when this has been received, the reserved place will be changed to confirmed.

Details of Scripture themes, activities & food for the week will come out closer to the time.

Email address *
Campers Full Name *
Your answer
Campers DOB *
MM
/
DD
/
YYYY
Campers CYC/Sunday School *
Your answer
Baptised? *
Campers Gender *
Your answer
Campers Address & Postcode *
Your answer
Parents Names *
Your answer
Parents Address & Postcode (If different from campers).
Your answer
Parent Phone Number(s) *
Your answer
Parent Alternative Email Addresses
Your answer
Will a place on the coach be required? *
Has your child attended Kinver Camp or Kinver youth weekend in the past? (no problem if not, it's just so that we can see who does/doesn't know other people attending camp).
Who do you know that is attending camp? Please name at least 1 camper if possible. *
Your answer
Does your Child have Any Dietary requirements? If so, please provide details below *
Your answer
I Understand that during camp, the designated camp First Aid & Child Protection leader will be in charge of all medication. I confirm my child/I will not take any medication without the knowledge of the first aid leader & I give permission for the first aid leader to prescribe medication throughout the week.
I understand that my child will be expected to behave in a careful and responsible manner at all times and observe the camp rules. I acknowledge that in the event of a serious breach of camp rules, my child may be returned home after I have been contacted using the details I have supplied in this form, and appropriate travel arrangements have been made. *
I understand that during the week at camp, photographs and videos will be taken by the leaders and children. These photo's may appear across social media & be used to promote future Camps. Photo's will be available for viewing at Camp Reunion. *
Relationship to Child *
Your answer
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