Maidenhead Youth Weekend 2019
1st-3rd February 2019. Age 14+
Maidenhead Christadelphian Hall
10 York Road, Maidenhead. SL6 1SF
Name *
Your answer
Address *
Your answer
Email *
Your answer
Which church/CYC do you attend?
Your answer
What days will you attend? *
Required
Home Phone Number
Your answer
Mobile Phone Number
Your answer
Date of birth *
MM
/
DD
/
YYYY
Baptised? *
If you are driving your own car are you happy to use it during the weekend activites?
Are you arriving by train?
Do you have any special dietary requirements, medical condition or allergies we should know about?
Your answer
Please indicate if there is anyone going on the weekend you would like to stay with (we will do our best to keep you happy!)
Your answer
Emergency contact details whilst you are at the youth weekend (Name, Address, Phone Number) *
Your answer
The cost of the weekend is £15 per person. Please make payment online - the details are shown once the form is submitted.
I understand that I will have to pay £15 *
Required
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