Please read and complete this form fully. This form will need input from both the young person applying and their responsible parent, carer, or guardian.  

Please note the age range for new applicants is 14-17 years old, returning youth can be 15-18 years old. (We cannot accept applications from new applicants aged 18).

Completing this form:

• This form may take 20-25 minutes to complete.
• This form has 2 parts:
  • Part 1: to be completed by parent/carer/guardian.
  • Part 2: to be completed by/with young person.
• There is an offline version of this form available here.
• If you require support or have any access needs please contact Phoebe via (07557459005 or info@lifebeat.co.uk) 

We ask you to complete these details as honestly as possible so we can assess whether this young person’s needs can be reasonably met at a LIFEbeat camp. When young people are applying to attend camp with significant complex needs we will undertake additional processes to create optimum support plans with referring organisations, parent/carers, and young people themselves. 

Please note that all data will be held securely.

Travel to Camp:

LIFEbeat will provide a free coach to and from camp from central London to Stanford Hall. Otherwise, you will need to make your own transport arrangements. Please contact info@lifebeat.co.uk if you would like to discuss transport arrangements further. 

Occasionally, a young person may become home-sick and wish to come home early, or in the event of broken non-negotiables (see Code of Conduct) may be asked to leave the programme. These up-to-date contact details are important should these events or any other emergencies occur. 

At least one of the contacts below must be available to support their child throughout the duration of the residential. 

Primary Contact

Secondary Contact

Please note that this email address will receive all communications about this programme but will not be added to our mailing list unless requested. 

Additional Emergency Contact

Please provide one additional emergency contact in case parents, carers, or guardians cannot be reached:

Other Information

LIFEbeat camps provide full bursaries for all eligible youth participants. In order to secure funding for our programmes, it is important that we have the following information as it applies. Please note that this information will be confidential and shared anonymously with funders. 

*Adverse Childhood Experiences (ACEs) include but are not limited to: physical, sexual, or emotional abuse, living with someone with serious mental illness, living with someone who has a substance addiction, losing a parent through divorce, death, or abandonment. Find out more information here. 

Dietary Information

Cultural/Faith Based Needs

Medical Information & History

Emergency Care:

Key Details About The LIFEbeat Context:

• We will live in a diverse intergenerational community of around 80 people, (c.30 supportive adults and 50 young people).
• Young people will be in shared accommodation (usually tents shared with other young people) and living in community, so time alone and personal space will be limited.
• Camps take place in beautiful environments with lots of nature nearby & time outdoors.
• Our programme involves structured opportunities to connect and share personal stories from your life.
• Our days are structured and busy, with activities from 9.30am until 10pm, and 3 hours free time every afternoon, when young people choose how they spend their time.
• Living in a community of 80 people for a week can be really vibrant and exciting and for some, can, at times, feel noisy or overstimulating. We will make provision to support where possible.
• We have an Unplugged Culture at LIFEbeat- where young people can only access their phone during free time if they choose to (approx. 3 hrs in the afternoon). 

Additional Support Needs

Adverse Childhood Experiences (ACEs) are "highly stressful, and potentially traumatic, events or situations that occur during childhood and/or adolescence. They can be a single event, or prolonged threats to, and breaches of, the young person’s safety, security, trust or bodily integrity.” (Young Minds, 2018).

Personal Reflection and Storytelling

During our programme, we introduce structured reflection practices which invite young people to share and explore their stories, if they choose to. In the middle of the week, there is an evening activity called the Heart Circle- where the young people and adults gather as a whole community to hold a supportive sharing circle.

Young people are invited to share a personal story which will help them step more fully into their lives and they are encouraged to focus on a story which describes overcoming a challenge in their lives. There is no expectation to share, and young people choose whether to speak.  We encourage compassionate listening and respect from the whole community and there is no cross-sharing. The majority of young people benefit from this opportunity to be authentic and to connect with their peers as a profoundly healing activity. It is important to note with referrals that stories are heartfelt and authentic which can occasionally be triggering for a young person who has lived through challenging times. We have support available in this case and a mental health lead on hand for the duration of camp. In exceptional circumstances it may be decided that the process is unsuitable for a young person attending camp.  In this case alternative provision of care will be made available.

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.

Health and Safety
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 and vaping are not allowed on this programme. No cigarettes or vapes will be purchased while at camp. 

Health and Safety: Young people are expected to abide by a clear code of conduct at camp (see Code of Conduct here). Staff are on duty at all times during the programme, including in campgrounds at night, and all precautions are taken to manage risk. These include risk assessments for group sessions, staff training in best practice and emergency procedures. 

I will not hold LIFEbeat responsible for any consequences of the code of conduct and health and safety guidelines being broken. 

Non-Negotiables
Non-Negotiables: (Please see Participant Code of Conduct) The compromising of any of these non-negotiables may lead to discussion workshops around topics of boundaries, intimacy and consent, discrimination, and inclusivity. If you would like to discuss this further please contact us at info@lifebeat.co.uk. 

Valuables: LIFEbeat takes no responsibility for valuables. There will be an opportunity to check any valuables in with the Leadership Team for safekeeping at registration. Participants will not need any money during the programme. I understand that my child needs to check in valuables with the Leadership Team at registration and that LIFEbeat cannot take responsibility for any missing valuables. We encourage young people not to bring valuables to camp unless necessary. 

Privacy and Data Protection
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. 

Mailing List and Newsletters: 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.

LIFEbeat aims to provide a safe and enjoyable experience for every young person. To help us do this, please note the following important information:

• Parents/Carers must ensure they notify us of any changes to the information given.
• Parents/Carers must make arrangements for young people to be brought to and from the programme/coach point safely and on time. If a Parent/Carer is not able to collect their child, they need to let us know in advance who will be doing so.
• We cannot take responsibility for any lost or damaged clothing and/or personal items during the activity.
• Parents and carers should ensure young people have packed appropriately, using the packing list sent, with sufficient clothing and medication (where appropriate) for the duration of the activity.

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

"I will update LIFEbeat if there are any changes or updates to my young person's details prior to the commencement of the programme. This includes but is not limited to: Medical conditions or other needs, Emergency contact details , and updates on emotional wellbeing or mental health issues that may support LIFEbeat to provide my young person with a safe and successful experience."

"I understand that providing full and accurate information will help to safeguard my young person during participation in the programme and failure to do so may put my young person and/or others at risk."

This is the end of section 1. Please support your child/young person to complete the following section and submit, so we can create a positive experience for them.

All LIFEbeat participants will be invited to make a donation to LIFEbeat's summer 'Big Give Campaign' to support our ongoing charitable work. The campaign will be live from 3rd-17th June 2025, where all donations made to LIFEbeat will be matched. We will send through details closer to the time.

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 Code of Conduct as a condition of accepting a place.

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

LIFEbeat... Unplugged Challenge!

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 phone, tablet, or electronic devices 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. Young people 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.”