Leaders
Your Details
Name
(Required)
First
Last
Gender
(Required)
Male
Female
Date of Birth
(Required)
Email
(Required)
Enter Email
Confirm Email
Phone
(Required)
Emergency Contact Details
Emergency Contact - Name
(Required)
First
Last
Emergency Contact - Phone
(Required)
Other Details
Which Local Church do you belong to?
(Required)
Is there any Medical Information we should be aware of?
(Required)
Do you have any dietary needs?
(Required)
Do you hold an up to date DBS?
(Required)
Yes
No
Is this through your current church?
(Required)
Yes
No
Have you served on camp before?
(Required)
Yes
No
Tell us a bit about yourself and why you would like to be a leader/assistant leader on UNITE summer camp...
(Required)
Do you have any preference on age group to work with?
(Required)
Do you have any other skills/gifts that you may be able to use to help during the week?
(Required)
Would you like to bring any other family members with you on camp? If yes, who and what ages? Once we know numbers we will be able to confirm if there is space for other family members to attend.
(Required)
Kitchen Team Only: Please state if you plan on staying on site during the week and which days you are willing to serve.
(Required)
Reference Details
Reference - Name
(Required)
First
Last
Reference - Email
(Required)
Reference - Phone
(Required)
Reference's Relationship to you
(Required)
I am interested in getting this year's Unite hoodie (cost expected to be around £20, order forms released around 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
