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REGISTRATION FORM
-Deadline for application 15th July 2012-
1.Personal Information
Title (please tick): Mr Mrs Miss Other
If other, please specify:
Male Female
First name (as it appears on your Passport):Last name:
Like to be called:
Email address:
Address:
City:County / State / Province:
Post code / zip code: Country:
Mobile / cell number (including country code):
Home phone number (including country code):
Work phone number (including country code):
Passport number: Expiry Date:
Date of birth (dd/mm/yyyy):
Medical conditions (including any dietary requirements):
Emergency contact details:
I am in possession of a Criminal Records Bureau certificate, FBI check or equivalent police clearance check (please tick)
I will not be able to obtain a Criminal Records Bureau certificate or equivalent police clearance check. I need to complete the More Than Gold Waiver Form. (please tick)
Where did you hear about The Joshua Camp? :
2. Church or Organisation Details
Name of church or organisation:
Address:
City:County / State / Province:
Post code / zip code: Country:
Contact telephone number (including country code):
Website address:
Affiliation / denomination:
If you would like to be considered to lead a team during The Joshua Camp, please provide details for the leader of your church / organisation, who can certify your competence as a Team Leader and their trust in the team as a whole:
First name:Last name:
Position in your church / organisation:
Email address:
Contact telephone number (incl. country code):
3. GroupDetails. If you are coming as part of a group please provide details of your group.
Name of Group:
Number of Group Members: Men: Women:
Details of Group Leader:
Full name (as it appears on Passport):
Male: Female:
Email address:
Date of birth (dd/mm/yyyy):
Name of Assistant Group Leader (for larger teams):
4. Talents and Skills
Which ministries would make the best use of you/your group (please tick. You can select as many areas as you like):
Sports outreach **Music ministry*
Prayer Youth ministry
Visitor outreachStreet Evangelisation
Service projects Hospitality centres
Local community outreach Creative / Performing Arts*
Other: Open Crowd Festival / Family Fun Day
* If you have selected Creative / Performing Arts or music ministry please give a short brief of the skills you can offer:
** If you have selected Sport Outreach, please give a short brief of the skills you can offer:
Language Skills:
If you are already working with a partner church / organisation in the UKfor the 2012 Games, please provide the following details:
Name of partner church / organisation:Town / City:
Contact name:Contact telephone number:
Contact email address:
5. Accommodation
Please tick one of the following. All prices include the registration fee.
FULL STAY: 1st-13th August
Full stayaccommodation with all meals at The Joshua Camp @ £193
Non-residential full stay with meals.We will be arranging our own accommodation (bed and
breakfast) and would like all other meals with The Joshua Camp.@ £160
Non-residential full stay without meals. We will be arranging our own accommodation and
all our meals.@ £85
REDUCED STAY: 1st-8th August
Reduced-stay accommodation with all meals with The Joshua Camp @ £134.20
Non-residential reduced stay with meals.We will be arranging our own accommodation (bed
and breakfast) and would like all other meals with The Joshua Camp @ £115
Non-residentialreduced staywithout meals. We will be arranging our own accommodation
and meals.@ £60
If you are arranging your own accommodation please give details of your stay:
We will be staying at:
The address is:
Contact Details:
6. Travel
Unless you have an Oyster Card, please remember to bring cash with youto cover the costs of a travel card for public transport from the camp to the outreaches.
PLEASE NOTE THIS COST MAY CHANGE
Full Stay: £42
Reduced Stay: £30.80
Travelling Information (if it is known already)
Arrival date: Departure date:
Arrival airport or station:
Departure airport or station:
Inbound and outbound carrier:
Please contact if you would like information about hiring a Sleeping bag and an Air Mattress for the duration of your stay.
7. Payment
Please send a cheque for the full amount, made payable to ‘The Sion Community’ to:
Care of: Karen Shurety - The Joshua Camp
S.E.N.T.
Sawyers Hall Lane,
Brentwood,
Essex
CM15 9BX
ENGLAND
Signed by:
______
Signature Please print name
Please email your completed Registration Form to
If this is not possible, pleasesend it with your payment to the above postal address.
THANK YOU!