Outreach Camp 2026 Booking Form

Booking Form

For the Outreach Camp at Carhue 2026. This camp is run by Johnathan & Janet Slater, Faith Mission workers in Co. Cork. There is a contribution of €60 for the camp which can be brought when you come (cash or card). This form will be kept confidential.
Name

First NameLast Name
Date of birth

DayMonthYear
Date
Email address
example@example.com
Address

Street Address

Street Address Line 2

TownCounty

Eircode / Postcode
Mobile Number
Format: (000) 000-0000.
In a few sentences please share your testimony
Name of the church you attend
Please tick any you would be willing to be involved in at a children's club
Are there any reasons why you should not work with children?
Have you ever been convicted of a criminal offence?
If you answered yes to either of the above questions, please give details below.
Do you have any dietary requirements? (If yes, please give details below)
Do you have any medical conditions we should be aware of? (If yes, please give details below)
Name of person to contact in case of an emergency

First NameLast Name
Number of the person to contact in an emergency
Please enter a valid phone number.Format: (000) 000-0000.
I agree to be fully involved with the activites and events of the Outreach Camp.

I will do my best to share my faith with those around me and will seek God for help in all I do.
Signature
PARENT/GUARDIAN CONSENT FOR 15 - 17 YEAR OLDS

I give my consent for my young person to attend and be fully involved in the Outreach Camp at Carhue 13-17 July 2026.

I give my consent for my teenager to be contacted via text / email with regards to the Outreach Camp.

I give consent if the need arises for medication (eg paracetamol for a headache) or emergency treatment knowing I will be informed as soon as possible.

I give my consent for my teenager to travel in a car / bus during the camp.

I give my consent for photos of my teenager taken during camp activities to be used by The Faith Mission in future publicity.
Name of parent / guardian signing below

First NameLast Name
Contact Number for parent / guardian
Please enter a valid phone number.Format: (000) 000-0000.
Parent / Guardian signature
Should be Empty: