Camper Details Form

Thank you for your purchase! Now we just need a few details.

An individual form needs to be completed for each camper. Please select either 'Families Week Camper Form' or 'Youth Week Camper Form' to continue.

Families Week Camper Form

Youth Week Camper Form

Once you've finished the form, please click 'Submit' and then you'll be able to add additional campers. Each form will take approx. 5-10 mins to fill out. You can save and resume the form at a later date at the bottom but please make sure it's filled in as soon as possible to help us prepare for camp!

If you've donated to MWCC please ignore this form, and head over to our Gift Aid page.

Camper Details

Name of Camper *

First

Last

Your Order No. *

Please enter the order number associated with this camper. Your order number can be found on your confirmation email.

Camper's Date of Birth *

Gender *

Male
Female

Camper's Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Camper Phone

Camp applied for *

Debra and Janet Youth Week: 3 – 10 Aug 2024
Families Week: 10 – 16 Aug 2024
Tim Beacon Youth Week: 27 July – 3 Aug 2024

Swimming Ability *

Can't swim
0-1 lengths
2-3 lengths
Over 3 lengths

Parental/Guardian Details

Guardian's Name *

First

Last

Relationship to camper *

Booking Email *

Phone *

Address *

Same as camper
Add new address

Parent/Guardian Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Medical Information

Please note that information contained within the following fields will be kept by the camp leader and medical officer on camp for the duration of the camp, after that time they will be destroyed.

All campers and leaders will be asked to take a lateral flow test within the 24 hours of the start of each camp. Proof of the results need to be brought with you to camp. Any camper or leader with a positive test will be asked to return home and MWCC will give a full refund of the monies they have paid for camp.

Name of registered GP *

Phone of registered GP *

Address of registered GP *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Allergies/Dietary Requirements *

Illness/disabilities that the Camp leaders need to know about *

Does the camper require any medication during their visit? *

Are you happy for the camper to use ALL of the products listed below? *

Calpol six plus
Antiseptic cream
Paracetamol tablets
Antiseptic Wipes
Ibruprofen (nurofen) syrup
Arnica cream (for bruises)
Ibruprofen tablets
Savlon dry antiseptic cream
Piriton
TCP liquits and/or ointment
Cough medicine
Sting relief cream
Tunes/Strepsils or similar
Witch Hazel
Fabric plasters
Waspeze spray
Waterproof plasters
Insect repellent
Hypo allergic plasters
Sun tan cream
Micropore tape/plasters
After sun lotion/calamine lotion

Image Consent

During camp activities, we will take photographs of the children. We may use these images in our publicity material or in other printed publications that we produce, as well as on our website or on display boards at churches and church-based events.

We may also make video recordings of the activities, for showing at camp reunions, report meetings and church events. To comply with the Data Protection Act 1988, we need your permission before we can photograph or make any recordings of your child for promotional purchases. Please note that website can be viewed throughout the world and not just in the united kingdom where UK law applies.

Conditions of Use

1. This form is valid for five years from the date you sign it. The consent for photographs to be taken will automatically expire after this time (although we may still use them in material etc)
2. We will not use the personal details or full names (which means name and surname) of any child in a photographic image on video, or our website, in publicity material or any other printed publication
3. We will not include personal email or postal addresses, or telephone or fax numbers on video, on our website, in our publicity material or other printed publications
4. If we use photographs of individual children, we will not use the name of that child in the accompanying text or photo caption
5. If we use a child’s first name in the text, we will not use a photograph of that child in the accompanying text or photo caption
6. We may include pictures of children and leaders that have been drawn by children
7. We may use group photographs or footage with very general labels such as ‘a beach activity’ of ‘fun in the forest’
8. We will only use images of children who are suitably dressed, to reduce the risk of such images being use inappropriately
9. Please note that we cannot be held responsible for photos taken by other young people and posted on social networking sites etc.

May we use your child’s photograph in publicity material and other printed publications that we produce, or on display boards? *

May we use your child’s image on our website? *

May we record your child’s image on video? *

PARENTAL CONSENT

Only those with parental responsibility (this does not include a foster carer) can sign the consent.

I have answered all relevant medical questions *

I accept all of the information in the medical requirements is correct

In an emergency and/or I am not contactable, I am willing for my child to receive necessary hospital or dental treatment including an anaesthetic: *

I have read and understood the conditions of use set out within the Image Consent Section *

I agree to the image consent conditions of use

Parent Name *

First

Last