Campers
Your Details
Name
(Required)
First
Last
Parent's Email
(Required)
Enter Email
Confirm Email
Address
(Required)
Address Line 1
Address Line 2
City
County
Post Code
Date of Birth
(Required)
What school do you attend?
(Required)
Current School Year
(Required)
Please enter a number from
6
to
13
.
Parent/Legal Carers Name
(Required)
First
Last
Relationship to Child
(Required)
Parent's Phone Number
(Required)
Additional Emergency Contact Details
Additional Emergency Contact - Name
(Required)
First
Last
Additional Emergency Contact - Phone
(Required)
Additional Emergency Contact: Relationship to Child
(Required)
Other Details
Doctor's Address
(Required)
Doctor's Phone Number
(Required)
Please state any allergies/dietary needs
(Required)
Please state any medical conditions that we should be aware of
(Required)
Please list any medication your child takes
(Required)
In an emergency and/or if I am not contactable, I am willing for my child to receive any necessary hospital or dental treatment, including an anaesthetic
(Required)
Yes
No
Does your child have any additional needs of which you would like the leaders to be aware?
(Required)
Name of two people my child would like to share a room with (we cannot guarantee this but will try our best to accomodate)
(Required)
Anything else we should know?
(Required)
I am interested in getting this year's Unite hoodie (cost expected to be around £20, order forms released April
(Required)
Yes
No
Campers
Your Details
Name
(Required)
First
Last
Parent's Email
(Required)
Enter Email
Confirm Email
Address
(Required)
Address Line 1
Address Line 2
City
County
Post Code
Date of Birth
(Required)
What school do you attend?
(Required)
Current School Year
(Required)
Please enter a number from
6
to
13
.
Parent/Legal Carers Name
(Required)
First
Last
Relationship to Child
(Required)
Parent's Phone Number
(Required)
Additional Emergency Contact Details
Additional Emergency Contact - Name
(Required)
First
Last
Additional Emergency Contact - Phone
(Required)
Additional Emergency Contact: Relationship to Child
(Required)
Other Details
Doctor's Address
(Required)
Doctor's Phone Number
(Required)
Please state any allergies/dietary needs
(Required)
Please state any medical conditions that we should be aware of
(Required)
Please list any medication your child takes
(Required)
In an emergency and/or if I am not contactable, I am willing for my child to receive any necessary hospital or dental treatment, including an anaesthetic
(Required)
Yes
No
Does your child have any additional needs of which you would like the leaders to be aware?
(Required)
Name of two people my child would like to share a room with (we cannot guarantee this but will try our best to accomodate)
(Required)
Anything else we should know?
(Required)
I am interested in getting this year's Unite hoodie (cost expected to be around £20, order forms released April
(Required)
Yes
No
