Creative Camping 2018

My full name
My age and date of birth
I would like to go to / / Arrival Choice - Please circle / Departure Choice - Please circle
Hawkwood Camp
3rd to 5th April / Camp Stroud / Camp Stroud
Longney Orchard Camp
11th to 13th May / Camp Stroud
Gloucester / Camp Stroud
Gloucester
Water Camp, Devon
8th to 10th June / Stroud
Gloucester / Stroud
Gloucester
I enclose a cheque made out to Creative Sustainability CIC
See below for advice on cost / £
I will bring everything I need to have a good time but not alcohol or non-prescription drugs / Signed:
I will take care of myself and others and do as asked by the Camp Leaders in order to stay safe / Signed:

Our grants are dependent on Gloucestershire County Council policy which this year is based on us making a charge of £150 to all those who are paying through a CAF or social care personal budget. If you do have a budget please do pay this. However, this cost must not exclude anyone and Creative Camping willsubsidiseany one who needs to pay less - simply put on the form what you can afford.

Call or email Anna Bonallack on 07734086879and ith any questions or concerns.

Return all forms before the camp to

Creative Sustainability CIC, 2 Model Cottages, Eastcombe, STROUD, Gloucestershire GL6 7DN

Cheques welcome or BACS paymentbefore the camp please:

Account Number: 65468360 Sort Code: 089299. Cooperative Bank Skelmersdale

Young person’s name
I give consent for - /
the activities leaders to sign, on my behalf, any form of written consent required by hospital authorities should medical treatment be required and any delay in requiring my permission to do so would, in the opinion of the doctor/surgeon, endanger my child’s health or safety
medication to be administered as per instructions provided on the Medical Information Sheet
my child to be included in photographs or films made while on camp, for the purposes of camp projects and/or publicity for Creative Camping activities in the future
my child to take part in activities scheduled and described in the itinerary of the residential camps as provided
the activities leaders to take any action they deem appropriate to ensure the safety of my child and those around them.
Parent/Carer name
Parent/Carer signature
Date
If we haven’t already done so we would like to talk to you about the planned activities and your child’s needs. Please state the best time to phone you, and any questions you have

Creative Sustainability CIC is a Community Interest Company, reg no.7407799