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A Residential for 11-18s in the Morecambe Bay Fellowship

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

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