Heritage Bible Conference Booking Form 2022

Please tell us about you and your family:

How many adults (ages 17 and older) would you like to book?

Adult 1 Name

Adult 1 Birthday

Adult 2 Name

Adult 2 Birthday

Adult 3 Name

Adult 3 Birthday

Adult 4 Name

Adult 4 Birthday

How many children (ages 5 and under) will you bring with you? Children ages 5 and under are free of charge.

1 2 3 4 None

How many children (ages 6-16) will you bring with you?

1 (£15) 2 (£30) 3 (£45) 4 (£60) 5 (£75) 6 (£90) None

Please give the name(s) and age(s) of each child attending.

Do you or your family have any dietary needs (i.e., gluten free, dairy free, etc.) that we need to be aware of with meal preparations? If yes, please explain. If no, please type 'none.'

Do you or your family have any health needs (i.e. medications, severe illness, allergies, etc.) that we need to be aware of? If yes, please explain. If no, please type 'none.'

This address will receive a confirmation email

Mobile Phone

Address

Would you like to purchase your child a Christian Heritage Club Children's Kit? This will include a T-shirt and other fun items especially made for young people.

Yes, I would like to purchase a kit

If you are purchasing a children's Christian Heritage Club Kit, please give the size(s) of T-shirt needed for each child. Please note, a kit must be purchased per child.

Child T-Shirt Size (Child Small, Medium, Large or Adult Small, Medium, Large, XL)

I give permission for my child to take part in all the activities, snacks and games during the Children's Club throughout the conference.

I hereby give my permission for those working in conjunction with the Crown Christian Heritage Trust to use appropriate photographs of my child taken during Heritage conference in its publicity and publication material and to be displayed at the associated chapels, but to not be used for profit in any way

Yes No

I agree that I will not hold the organisation or its sponsor liable in case of sickness, injury, or loss of property. I give consent to receive emergency medical treatment if necessary. I also agree to abide by all rules and regulations. I give my consent for all medical and/or surgical treatment and/or other medical procedures (including administration of anesthesia, blood transfusion, diagnostic test, etc.), which may be required during my stay. This consent serves as permission for treatment by any medical facility that we deem proper and necessary. Note: Consents are not required in emergency situations. I agree to pay for all services provided while at the Heritage Bible Conference.

Please tell us about your church:

Church Name

Church Address

Church Phone

Pastor's Name

Booking your place at the Heritage Bible Conference is almost done!

The cost for each person (ages 17 and older) is £65.00. The booking fee includes meals throughout the conference (breakfast not included), a gift upon arrival and a Christian Heritage outing on Friday afternoon. Our cafe will be available throughout the conference where you may purchase pastries, cakes and tea or coffee. You may choose to pay the whole booking amount (including any children's kits) now by selecting the "other" option or just a security deposit. An invoice will be emailed at a future date showing your remaining balance (if you have not paid in full). Any remaining balance will be due upon arrival.
**Payment does not include your lodging. You will need to book your lodging accommodations separately with a hotel/bed and breakfast/etc of your choice.**

Payment

Heritage Bible Conference Booking Form 2022

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