__________________________________________ Has your child been immunised against tetanus within the last 10 years? __________________________________________ Doctors Contact Details Name ____________________________________ Phone ____________________________________ Address ___________________________________ __________________________________________ ______________________ Postcode ___________ DECLARATION (To be filled in by parent/guardian): I have read the Information on the Kingfisher Camp and give permission for the child named above to attend, take part in all activities and declare that s/he is fit to do so. I understand and accept at there may be short periods when s/he will not be under direct supervision. I give permission for any medical/dental treatment that may be necessary (including prescribing Paracetamol) during camp. Photos / videos are taken of camp activities, which may include your child, and may be used for publicity purposes. Your details provided will be kept to inform you of future Kingfisher events. Things to bring Sleeping bag Blanket (it gets cold at night) Pillow Toilet things Towels Swimming gear Change of clothing Torch (safety requirement) Change of shoes Waterproof anorak or raincoat Bible, notebook, pen(s) Wellington boots Pocket money - (not too much) Things not to bring No phones or portable electronic devices are allowed at camp. 2015 __________________________________________ Details of any special dietary arrangements (e.g. vegetarian): Remember cut off Medical Details Details of any medicine, treatment being taken or allergies: BIBLE STUDY SPORTS CRAFT ACTIVITIES AND MUCH MORE Things to hand in on arrival Pocket money must be paid into the Camp Bank, which will be open when campers arrive. All medicines must be handed to the 'Camp Medical Person' on arrival. Signature (Parent/Guardian) __________________________________________ Date ______________________________________ • Cheques should be made payable to ‘Kingfisher Christian Camp Trust’. • Separate form for each camper, extra copies available on our website. • Please enclose a stamped addressed envelope if you require a receipt. • Please use a seperate piece of paper if more space required. Kingfisher Camp is run by (Reg. Charity No. 1013510) kingfisher christian camp trust info@kingfishercct.org www.kingfishercct.org DY TU ES L BIB RT FT A R C SPO *Campers must be aged 10 and over but not over 17 by the end of their chosen week. week Kingfisher Camp provides a full programme of Bible study, sports, craft, walks and outings. The cost of camp includes all these activities. The week provides a great opportunity to listen to others share their faith and to absorb first class Bible teaching. Frome College Bath Road, FROME, Somerset, BA11 2HQ Cost £80 (inc £40 deposit) Dates 26th July – 1st August Start Sunday Finish Saturday @ 11:00 application form Application & payment deadline 27th June 2015 Using BLOCK CAPITALS, please fill in and return to the relevent address below: week 1 Kingfisher Camp Week 1, 17 Morgan Way, Peasedown St John, Bath, BA2 8TT week 2 Kingfisher Camp Week 2, Stag Hill Farm, Skinners Green, Enborne, Newbury RG14 6RE 1 Location Forms & Fees Activities cut off Kingfisher Camps are held each summer for young people who have shown an interest in the Christian life. Young people aged 10-17* years join together for a week camping enjoying the facilities for meetings, dining, sport, crafts, showering and toilets. Approximately 6 campers sleep in each tent with leaders sleeping in tents nearby. All leaders on camp are CRB checked and have a particular interest in the spiritual well being of young people. Full Name of Camper __________________________________________ Date of Birth ____ / ____ / ________ week @ 15:00 Location 2 Linkenholt Countryside Adventure Linkenholt, Andover, Hampshire, SP11 0EA Cost £80 (inc £40 deposit) Dates 16th – 22nd August Start Sunday Finish Saturday @ 10:00 @ 15:00 Application forms should be returned as soon as possible because places are allocated on a first come first served basis. Photocopied forms are accepted or further copies can be downloaded from: kingfishercct.org. The cost is £80, a deposit of £40 is required on application, with the balance of £40 to be paid by 27th June. Please make cheques payable to ‘Kingfisher Christian Camp Trust’. Address __________________________________________ __________________________________________ Camp Contact Should you wish to write to your child during camp, letters should be addressed to Kingfisher Camp. In an emergency, the Camp may be contacted by ringing: Week 1 07976 292623 Week 2 07748 987740. Please do not make phone calls direct to sites. _________________ Postcode ________________ Parent / Guardian Contact Details Phone ____________________________________ Work ____________________________________ Mobile ____________________________________ Email ____________________________________ Contact details of parent / guardian / responsible person during camp period Name ______________________________________ Relationship ________________________________ Phone ____________________________________ Work ____________________________________ Mobile ____________________________________
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