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Kinver Youth Weekend Booking form 2019
Please complete 1 form per child.

God willing, Our Youth weekend will take place on January 25th - January 27th.

Speaker: Bro Stephen Whitehouse (Hall Green)
Subject: Elijah - A Man Just Like Us
Age: 11+
Price: £20
Activity: TBC

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. Please note that although there may be space on the YW you may still have to take a plan on the waiting list should our boy to girl ratio be met, however we will do our best to ensure everyone that wants to come to the YW gets a space.

Payment will be made on the day at reception.

Email Address *
Your answer
Childs Full Name *
Your answer
Child D.O.B *
MM
/
DD
/
YYYY
Childs CYC/Sunday School *
Your answer
Baptised *
Gender *
Childs Address & postcode *
Your answer
Parents names *
Your answer
Parents address & postcode (If different to childs)
Your answer
Parent contact numbers *
Your answer
Parent Alternative Email Address
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
Relationship of person completing form to child *
How will you be travelling to the YW? (We can facilitate collections from Wolverhampton or Stourbridge Junction train stations only) *
How will you be travelling from the YW? (We can facilitate drop off's at Wolverhampton or Stourbridge Junction train stations only) *
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