YWA27 18+ Sign up

We are so excited for you to join us on the Youth Weekend away!

As you’re now over 18 we require you to fill in your own form to sign up to the Youth Weekend Away, if you need any help you can contact the team through centre@kenilworthyfc.co.uk

Please make sure you read the Good Behaviour Agreement

YWA Good Behaviour Agreement

Youth Weekend Away (18+) Sign Up form

Participant (18+) Email Address*
Full Name:*
Date of Birth:*
Your Address:*
Street Address Address Line 2 County / State / Region ZIP / Postal Code
Emergency contact
First Last
Emergency contact Phone Number*
Their Relationship to you
Emergency contact address if different to yours
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Your Church:*
Photograph Consent*
Photos may be taken throughout the weekend away for promotional use. Please note that we cannot prevent other young people taking photos and have no control over their use.
Medical and Dietary Information*
Please give details of any medical condition that you consider the group leaders should be aware of. Please also include any food allergies or dietary requirements. Please write 'None' if applicable.
Have you read both the our Good Behaviour Agreement?*
Any questions, please write them here:
Payment Information
Payment (select 'Pay Now' or 'Pay Another Way' payment)*
Please select if you would like to pay online or offline.
Pay Now*
- Pay Now - Please CLICK
Payments can be made online now. Upon the submission of this form, you will be taken to a payment gateway to complete the payment.
Bursary*
- Bank Transfer
- Bursary (agreed with KYFC)
- Deposit (£50)
Sort Code - 405240 Account - 00012392 Reference - KYWA27 Then the SURNAME of the young person attending. Please note, Bursary Funding is available if required please email centre@kenilworth.yfc.co.uk
Online Payment Total
Total
£ 0.00

We are so excited for you to join us on the Youth Weekend away!

Youth Weekend Away (18+) Sign Up form

Payment Information