Additional Information - FCYC Registration

Young Person's Details
Young person's name

First NameLast Name
Camp
Young person would like to share a dorm with:
Please leave blank if not relevant
Is this the young person's first time at Free Church Youth Camps?

Medical Information
Does the young person have any dietary requirements or preferences?
If yes, please detail the dietary requirements below:
Does this young person have any medical conditions of health issues which we should be aware? (e.g. asthma)
If yes, please detail the medical conditions below:
Does the young person have any Additional Support Needs (ASN) (e.g. ADHD, dyslexia, autism, emotional/behavioural needs)
If yes, please give brief details of the Additional Support Needs below. We may contact you for more information:

Sibling Discount
A sibling discount is available for families with two or more children attending camp. The first child will be charged the full camp fee, with each subsequent child receiving a £40 discount on their camp fee. All siblings must be resident at the same address.
Will a sibling discount apply?
If yes, how much children from the same family have registered for Camp?
Please provide the full name(s) of sibling(s):

Parent/Guardian Consent
I confirm that all the details in this form are correct, and that I give my consent for my child/the child in my legal guardianship to attend camp
Parent/Guardian Signature
Should be Empty:

Additional Information Form