Wiltshire YFC Junior Weekend 2026
Sat 11th to Sun 12th April 2026, PGL Liddington
Booking Form
Childs Name
*
First Name
Last Name
YFC Membership Number
*
YFC Club
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Childs Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Age as of 11th April 2026
*
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Phone Number
*
-
Area Code
Phone Number
Parent/Guardian email contact
*
example@example.com
Emergency 24/7 contact for the weekend
*
First Name
Last Name
Emergency 24/7 Contact number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Doctors Name
*
First Name
Last Name
Doctors Phone Number
*
-
Area Code
Phone Number
Doctors Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Details of Medical conditions, allergies and current medication:
*
Is your child allergic to ANY medication?
*
Yes
No
If yes, please give details:
*
Does your child have any dietary requirements?
*
Yes
No
If yes, please give details:
*
Please let us know of anything else relevant to your child.
*
If your child would like to share a room with another child on the weekend, please let us know and we will do our best to accommodate this.
*
Can your child swim 50 metres or more?
*
Yes
No
Is your child water confident (will duck head under water and swim 15 metres in a buoyancy aid)?
*
Yes
No
Is your child unable to swim?
*
Unable to swim
N/A
If T shirts are available for the weekend, my child would like size (these will be at no extra cost):
*
I agree to my child being photographed and the photos used by Wiltshire YFC.
Yes
No
I believe the information provided above to be correct and will notify Wiltshire YFC of any changes as soon as possible. I agree to my child receiving medication as instructed and to any emergency dental or medical treatment, as considered necessary by medical staff present. I consent to my child partaking in the activities offered by PGL Liddington.
*
Date signed
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
I agree to pay a £60 deposit to secure my child’s space and agree to pay the remaining £90 by Sunday 15th February 2026. Payable to: Wiltshire YFC, Acc- 00318303 Sort- 30-92-63 Ref- Child name, JW
I agree
Continue
Continue
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