Summer Barmoor 5-8 July 2019
Please complete a form for each person attending (including children).
Name *
Your answer
Age (if under 18)
Your answer
Email *
For a child or young person this may be the parent's email address.
Your answer
Phone number *
For a child or young person this may be the parent's phone number.
Your answer
Contact list permission *
Do you give permission for your name, email and phone number to be included in a contact list for participants?
Name of coco teacher *
For a person under 18 who is not yet a co-counsellor, please write 'none'
Your answer
Approximate date of fundamentals *
For a person under 18 who is not yet a co-counsellor, please write 'none'
Your answer
Diet
Food will be vegetarian.
Details of restricted diet
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Accommodation
Accommodation is in shared rooms for between two and six people.
Travel: I can offer a lift from...
Your answer
Travel: I would like a lift from...
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I can stay until Monday
I can offer help with...
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Amount paid *
Adults (over 16) £60, young people aged 12-15 £45, children aged 11 and under £35. Pay from your on-line bank account to Coco at Barmoor. Sortcode: 40-41-44, Account number: 91335316. Alternatively you can pay by Paypal to Aisha@beckvale.co.uk.
Your answer
Name on bank payment reference *
Please put 'Paypal' if you have used Paypal instead of paying into the bank account.
Your answer
Other information
Please use this space for anything else that we need to know
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