Advent Retreat 2018
Please fill in all details carefully and accurately.
Email address *
Name *
Your answer
School
Your answer
Parish
Your answer
Age *
Your answer
Gender *
Parental consent
If you are under 18 please provide an address where we can seek Parental Consent for your participation.
Your answer
Where are you from? *
Payment *
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.
Required
Do you have any dietary requirements? *
Your answer
Do you have and medical needs that may affect your stay with us? *
Your answer
Consent / Permissions
If you are under 18 you will need to provide parental consent to take part in both trips.
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This form was created inside of NDCYS.