







|
Name
Address
Telephone
Date of Birth
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Congregation/Fellowship
Name of guardian or responsible adult in attendance in not accompanied by parent(s)
Daytime telephone contact
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Creche Infant (5 yrs or less) [ ] Junior Programme (6/11 yrs) [ ] Senior Programme (12/16 yrs) [ ]
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University Accommodation (prices inclusive of VAT) Please circle requirements
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Meals |
Creche |
Accommodation |
Total |
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(6/11 yrs) |
(12/16 yrs) |
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| Sat 12 Apr |
Please note: We are unable to accommodate children on Saturday |
| Sun 13 Apr |
All meals including breakfast to be purchased on campus |
3.00 |
10.00 |
2.00 |
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| Mon 14 Apr |
3.00 |
10.00 |
2.00 |
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| Tue 15 Apr |
3.00 |
10.00 |
2.00 |
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| Wed 16 Apr |
N/A |
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| Cheques to: General Assembly of Unitarian & FCC |
£ |
| Essential Needs: Please mention any dietary, medical or mobility requirements for which provision should be made.
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Indicate if Vegetarian [ ]
Sharing Twin Room with Parent [ ]
Sharing Self-catering with Parent [ ] |
Please bring a carry cot for infants as the university can not provided cots.
Please note that Creche facilities are available from Monday and that child minding on Sunday will be provided br volunteers.
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Please return this booking form to:
The General Assembly of Unitarian and Free Christian Churches,
1/6 Essex Street, London, WC2R 3HY, England
Parental Information and Consent Form
CHILD'S NAME:
DATE OF BIRTH:
HOME ADDRESS:
HOME PHONE: MOBILE PHONE:
NAMES OF PARENTS/GUARDIANS
NAME AND ADDRESS OF CHILD'S DOCTOR
PLEASE GIVE DETAILS IF YOUR CHILD WILL NOT BE ATTENDING ALL OF THE GROUP'S SESSIONS (e.g. arriving at the Annual Meetings late or leaving early)
I give permission for my child to take part in the activities of their group at the Annual Meetings. I understand that she/he will be under the care and control of the group leader and/or other approved leaders and that, while the staff will take all reasonable care of the children, they cannot necessarily be held responsible for any loss, damage or injury suffered by my child during, or as result of, the activity.
I consent to any emergency treatment necesary whilst my child is engaged in group activities. I therefore, authorise the leaders to sign, on my behalf, any written form of consent required by medical authorities if it is deemed necessary and provided that the delay to obtain my signature be considered likely to endanger my child's health and safety.
Please make a note below of any allergies, special requirements or any other information you would like leaders to know about your child, continuing on a separate sheet of paper if necessary.
SIGNED
DATE
The General Assembly has a policy on child protection, 'Safety First'. If you wish to raise any matter you can contact Sarah Tinker who will be the child protection co-ordinator at Edinburgh and who can be telephoned on 0114 2630262.
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