Advent Retreat 2018
Please fill in all details carefully and accurately.
Prefer not to say
If you are under 18 please provide an address where we can seek Parental Consent for your participation.
Where are you from?
Leicestershire (Inc. Rutland)
The cost for the retreat is £65 this can be paid by cheque in advance or via bank transfer. Please select how you are going to pay. (If paying by bank transfer then please use your [surname]AD2018 as the reference so we can find your payment.) Please note that your place is not guaranteed until payment is received.
By cheque made payable to The Briars and posted in advance.
By Bank Transfer using the reference [surname]AD2018
Do you have any dietary requirements?
Do you have and medical needs that may affect your stay with us?
Consent / Permissions
If you are under 18 you will need to provide parental consent to take part in both trips.
I consent to NDCYS storing and handling my data for the purpose of this trip.
I understand I will not be able to take part without parental consent if I am under 18 Years of age.
Never submit passwords through Google Forms.
This form was created inside of NDCYS.
Terms of Service