Builth Wells Gospel Tent Mission

Name

Date of Birth (DD/MM/YYYY)

Parent/Carer Email

This address will receive a confirmation email

Parent/Carer Phone

Address

If available in my postcode, I would like my young person to receive free transportation for the event.

Yes No

My child will be attending:

Tuesday Wednesday Thursday

MAJOR allergies/medical conditions (minor conditions that will not hinder their participation in simple activities are not necessary).

I consent to photographs being taken in group settings solely for the purpose of sharing on the church social media platforms and materials for me (the parent/carer) to share with friends and family. These images are never sold.

Yes No

I understand that my young person will need transportation from their collection point to the church (and back again).

Yes

Parent/Carer Digital Signature

Description

Tuesday - Thursday 6-8 October | 5- 6pm

Time: 5-6pm

Young people may arrive home later than 6:30pm due to number of young people requiring a lift.

Lifts are provided should you’d require one for your child. Please contact Izzy on 01982 559175

Builth Wells Gospel Tent Mission

Description

Please Fix the Following