Young Person Application Form
The more details you provide us with about the child/young person and their needs will assist us in allocating them to the appropriate Camp.

We may contact you to discuss the application and ensure we can provide the young person with a safe and fun holiday.

Email address *
Child / Young Person's Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Address Line 1 *
Your answer
Address Line 2
Your answer
Town *
Your answer
County *
Your answer
Postcode *
Your answer
School / College
Your answer
Ethnic Origin
Your answer
Parent / Carer's Name
Your answer
Relationship to child / young person
Your answer
Mobile phone number
Your answer
Home phone number
Your answer
Does the child/young person have a disability?
If Yes, please provide a brief description of the disability
Your answer
Have you been told that your child has any of the following? (tick all that apply)
Does child/young person use a wheelchair?
If Yes then please tick all the boxes that apply
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