Please read and complete this form fully. This form will need input from both the young person applying and the parent / carer / guardian who is responsible for them. 

This first section can be completed by the parent, carer or guardian on behalf of the young person. The final section must be completed and signed by the young person. 

Primary Contact

Secondary Contact

Emergency Contacts

Please provide two emergency contacts in case parents or guardians cannot be reached:

Additional support needs

Dietary Information

Medical History

I give my permission for the participant to attend the LIFEbeat camp they have applied for. 

I do not hold LIFEbeat, its employees, officers and volunteers responsible or liable for any accidents which may arise from circumstances beyond LIFEbeat’s control.

I do not hold LIFEbeat, its employees, officers and volunteers, responsible or liable for any circumstances which may arise if the participant leaves the grounds of the programme without authorisation, or otherwise goes against the Participant Code of Conduct outlined in this document.

Participation: I give permission for the participant to take part in activities, field trips, and swimming, and to be transported in vans or private automobiles as authorised by LIFEbeat.

Smoking: Smoking or vaping are not allowed on this programme. No cigarettes will be purchased while at camp.  

Health and Safety: Young people are expected to abide by a clear code of conduct at camp (see Page 10). Staff are on duty at all times during the camp programme, including in campgrounds at night, and all precautions are taken to manage risk. These precautions include risk assessments for group sessions, staff training in best practice and emergency procedures. Young people will be clearly advised of health and safety guidelines before any relevant activities. I will not hold LIFEbeat responsible for any consequences of the code of conduct and health and safety guidelines being broken.

Valuables: LIFEbeat takes no responsibility for valuables. There will be an opportunity to check any valuables in with the Camp Manager for safekeeping at registration. Participants will not need any money during the camp. I understand that my child needs to check in valuables with the Camp Manager at registration and that LIFEbeat cannot take responsibility for any missing valuables at camp.

Photo Release: LIFEbeat will take photos for our organisational records. LIFEbeat would like to take photos and videos for use on our marketing and social media channels and for fundraising purposes. We need your consent to be able to do this.

Emergency Care: I give permission for the participant to be given emergency treatment by a LIFEbeat First Aid staff member. I also give permission for the participant to be transported by car, ambulance or air ambulance to an emergency centre/hospital for treatment. In the event that the emergency contact(s) cannot be reached, I further consent to medical, surgical, and hospital care, treatment, and procedures for the participant performed by a LIFEbeat staff member, doctor/hospital staff in the participant’s best interests.

Mailing List: LIFEbeat may use your contact information to inform you about future programmes. By giving your email address and contact information, you are giving LIFEbeat consent to keep your details and to add you to our mailing list, from which you can unsubscribe at any time. Your information will not be shared with any other parties.

“I have read, understood, and agree to the above statements. The information I supplied is true to the best of my knowledge. I have not withheld information which would enable LIFEbeat, to effectively safeguard mine, and other people’s children.”

As a charity, our mission is to make the LIFEbeat Summer Programme as accessible as possible for young people. We have never turned a young person away based on financial means. For this reason, we work with an open donation scheme where each family can contribute according to their means.

We do ask where possible that a Camp Deposit of £50 is included with this application. If we accept your application, this deposit is non-refundable. If for any reason we cannot offer you a place at camp, we will refund your deposit. 

The real cost of a young person’s place at a LIFEbeat Summer Programme is £700. This includes:

• All classes, workshops and equipment
• Full board (accommodation and 3 meals per day)
• Camping equipment (tents, roll mats, etc.)
• LIFEbeat bus fare
• Your camp deposit

For those families who cannot afford to pay £700, we ask they make a donation of anywhere between £50 and £700 to support the running of the programme. If you cannot afford to contribute towards the camp place you can apply for a LIFEbeat Community Fund bursary (details below).

Paying by Instalments

We are happy to arrange payment for you to pay by instalments. Please note that your final payment must be made 14 days before the camp start date. We will contact you to arrange a payment schedule.

LIFEbeat Community Fund Bursaries

We rely on the generous support of individuals, companies, trusts and foundations so we can offer scholarship places to support those who are unable to pay. Full bursary places will include the cost of the £50 Camp Deposit, while partial bursaries are agreed on an individual level and will cover the remaining cost after the family's contribution to the camp.

We are able to offer bursary spaces to any young person who is receiving support under the immigration or asylum act.

We are also able to consider discretionary bursaries for all those who are:

• On pupil premium or receiving free school meals
• In a family with a total income below £25,000
• Currently looked after or in foster care

How to Make Payments

Please note that your final payment must be made 14 days before the camp start date. 

By bank transfer

LIFEbeat’s account details are: Sort Code 60-13-30; Account number 47547952
Please include the young person’s name as a reference

By PayPal

LIFEbeat has a PayPal account, linked directly to LIFEbeat’s bank account. Visit www.paypal.co.uk and use the email address paypal@lifebeat.co.uk to make payment.

By cash

If you need to make a cash payment, please visit your nearest bank branch and deposit the money into the LIFEbeat account specified above. If possible, please include the young person's name as a reference. Please do not send cash in the post.

By cheque

Please make cheques out to ‘LIFEbeat’ and send to:
LIFEbeat, Stanford Hall, Lutterworth, Leics LE17 6DH

Returnee Statement

Returnees! We're excited that you want to return to LIFEbeat this year. Please bear in mind that we often receive more applications for returnee spaces than there are spaces. We do our best to accommodate everyone, but your space is not guaranteed.

There will be 15 places available for returnees at each camp. As part of your application, we invite you to reflect on ways in which you can become a role model for others.

The deadline for Returnee applications is the 31st of March. We hope to contact you by the end of April to let you know if we are able to offer you a space in this year's camp.

What LIFEbeat also expects of returnees

As someone who has been to camp before, there are different expectations of you as a Returnee. Spaces are in high demand and it is important that you are clear about what we need from you as a Returning LIFEbeater:

• Be a positive role model - participate fully in plenaries, workshops and family groups.
• Support people coming to camp for the first time.
• Think about your personal goals for camp and how to get the most out of the experience.
• Step up and take some creative risks - be willing to try new things.
• Help bring the LIFEbeat positive vibes to camp.
• Create the kind of community you would like to be part of!
• Respect the boundaries around phones, smoking and safety.
• Adhere to the non-negotiables of camp. Returnees who break the non-negotiables will be asked to leave immediately and may not be asked to come back to LIFEbeat in future.

As per previous years, all returnees will be asked to pay a minimum of £50 for their places at camp. We understand some of you may not have the resources to pay the camp fee, and for those who cannot afford to cover at least the £50 deposit, we suggest that you fundraise with our support to contribute towards your place at camp.

N.B. Staff are always on hand to support you at camp with any worries or challenges.

At LIFEbeat it is important that everyone feels safe and also has a great time at camp. In order to create a respectful environment at LIFEbeat Summer Camps we ask everyone (both staff and young people) to agree to some non-negotiable guidelines. All young people will have to agree to abide by the young person code of conduct as a condition of accepting a place on the programme:

• No drugs or alcohol
• No violence or aggressive behaviour
• No sex or sexual intimacy, including through mobile phones, or social media
• No bullying, discrimination or insulting behaviour towards others, including but not limited to, discrimination because of age, disability, gender, race, religion and belief, sex and sexual orientation
• No leaving the site

As well as these non-negotiables, we expect the following from all Camp participants:

• Respect the venue and facilities used in the programme
• Smoking is not allowed on this programme
• Agree to the phone policy outlined below

LIFEbeat... Unplugged!

We want to give you the best chance to create your own culture, to make new friendships, and to fully participate in the programme:

• We encourage you NOT to bring your mobile phone, iPod, music player etc. to camp! We call this the LIFEbeat ‘Unplugged’ Challenge.
• If you do bring personal electronics you will be asked to check them in on arrival. They will be placed in a secure, locked area for safe-keeping. Youth participants will have the option to access their phones during free times in the afternoon. We will accept no responsibility for lost items that have not been checked in with us.
• Any young person can use the office telephone. If you need to check in at home during camp you are free to use the LIFEbeat office phone as long as you are accompanied or authorised to do so by a member of staff.

Health and Safety at LIFEbeat

LIFEbeat has strict and comprehensive health and safety regulations and undertakes risk assessments for all its activities. However, course participants must accept that safety is a shared responsibility. Participants will be fully briefed before every activity; correct procedures and techniques will be taught, and equipment is of the highest standard and is carefully maintained. All participants are expected to follow safety instructions and to indicate if they are unclear of what is expected of them.

“I understand that by signing this form I am agreeing to follow these guidelines and that not following the guidelines could result in me being sent home from the programme.”