Going to Newday 2018 with Radiate Youth
Please enter all the information below
Delegate Details
Please complete a separate form for each delegate you have booked into newday. When you get to the end of the form and selected submit, click on the link again in the email to fill it out again with the details of the next delegate. Feel free to enter 'same as (prev siblings name)' in, e.g. address of doctors, email, so you don't have to repeat the same info.
First Name *
Your answer
Surname *
Your answer
Newday Booking Reference *
Enter your newday booking reference eg in the format of NF1234 / A1234 - or "Instalment" if you're paying by that methods
Your answer
Gender *
Date of Birth *
Please enter in the form of 01/02/1999
Your answer
Address *
Your answer
Parent/Carers Details
These are your details - the person booking the person into newday. Emergency contact details for the week, if different, can be specified in the next section.
Parent/Carers Name *
Please enter the name of the person who is booking the young person into Newday with Kings
Your answer
Contact Number *
Please enter in the form of 01603 XXX XXX or 07595 XXX XXX
Your answer
Contact Email Address *
Please check this is entered correctly
Your answer
Never submit passwords through Google Forms.
This form was created inside of King's Community Church. Report Abuse - Terms of Service - Additional Terms