CW Retreat Booking Form 2019
Christian Worship Retreat (Cardiff) booking form 3-5 January 2019
Name *
Your answer
Address *
Your answer
Gender *
Telephone *
Your answer
Email *
Your answer
Date of birth *
MM
/
DD
/
YYYY
Age at Retreat *
Your answer
Parent Church *
Your answer
Emergency Contact Name and Telephone *
Your answer
Name and address of GP *
Your answer
Agreement: I understand that I will be in the control and care of the CW Retreat leaders and other adults approved by CW Retreat leaders, and that, while the CW Retreat leaders in charge of the group will take all reasonable care of me, they cannot necessarily be held responsible for any loss, damage or injury suffered by myself, during or as a result of the Retreat. I give my permission for any photos or videos taken of me at the camp, can be used for future CW Retreat literature and publications. In an emergency, I give permission for myself to receive necessary medical treatment. *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service