✹ Fantastic country park in Devon ✹ Acres of grassy fields and beautiful woodland ✹ It’s even got a large lake!

Brand new site...

✹ Loads of inflatable activities ✹ Sports tournaments ✹ Lots of craft and creative arts ✹ Kayaking* ✹ Rock School ✹ Dance Academy ✹

Orienteering ✹ Talent show ✹ Late-night movies ✹ Space Hopper racing ✹ Wide games ✹ Laser clay pigeon shooting ✹ Sumo wrestling ✹ Bungee Run ✹ Archery ✹ Gladiator joust ✹...and a few surprises!

Weekend of fun guaranteed...

SW Spree 2011 is open to all young people aged 8 - 15 at the start of the event.

The cost - which includes access to all Spree activities (except kayaking which is an extra £7.50 for 11/4 hrs), food and travel is

£_______________ The programme includes sessions for different age

groups exploring the Christian faith in a fun and interactive way.

To book a place please ask a parent to complete both sides of the form opposite and return it with the correct payment* to your group leader.

*Cheques should be payable to:

__________________________________ Spree is organised and run by Urban Saints (Registered Charity 223798) and SWYM (Registered Charity 1086877)

Parental Consent Form SW Spree 2011 – July 15th to 17th For use by all Groups coming to SW Spree 2011

Urban Saints and SWYM comply with the Data Protection Act 1998. All of the data given on this form will be held and used in accordance with this Act.

SECTION 1 This data will help us to process the application and enable us to contact you should we need to during Spree.

YOUR CHILD’S DETAILS

First name: Surname: Date of Birth: Age in years at start of Spree: Gender: M / F

Home address: Postcode:

Name of Urban Saints Group/ church they attend:

Please tick this box if your son/daughter would like to take part in the optional 11/4 hour kayaking session on the lake @ £7.50. The session is being run by fully qualified staff from a nearby activities centre.

We would like to keep your child informed of other events and activities run by Urban Saints or SWYM. If you or your son/daughter would prefer us not to contact them please tick the box:

YOUR CONTACT DETAILS

Title: First name: Surname:

Address of parent/carer during the residential if different from the child’s address above: Postcode:

Contact tel. no(s). of parent/carer during the residential activity: Daytime: Evening: Mobile: Contact email address:

We would like to keep you informed with news about Urban Saints and SWYM. If you would prefer us not to contact you please tick the box:

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* Available at extra cost - £7.50 for 11/4 hrs. This activity is being run by fully qualified instructors from a nearby activty centre.

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July 15th - 17th

Shobrooke Park, Crediton, Devon

Spree is organised and run by SWYM (Registered Charity 1086877) and Urban Saints (Registered Charity 223798)

Spree is organised and run by Urban Saints (Registered Charity 223798) and SWYM (Registered Charity 1086877)

SECTION 2 YOUR CHILD’S MEDICAL INFORMATION. This data will help us to give the best possible care to your child.

Name of family Doctor: Address of family Doctor: Phone number:

Please give details of any disabilities or medical conditions of which we should be aware:

Please give details of any medication they are currently taking, the dosage and whether self-administered:

Please give the date of their last anti-tetanus injection:

Please give details of any special dietary requirements:

Please give any other information that may be useful to us in caring for your child, e.g. suffers from travel sickness:

SECTION 3 To be read and signed only by a parent or other adult with parental responsibility.

I give permission for my son/daughter to take part in this residential trip and I understand the nature of the activities that will be undertaken and the travel/sleeping arrangements.

I understand that the leaders and those organising Spree will take all reasonable care in looking after my son/daughter but they cannot necessarily be held responsible for any loss or damage to property during, or as a result of, this trip.

In an emergency, if I cannot be contacted despite all reasonable attempts to do so by the leaders and organisers of Spree, I give permission for my son/daughter to undergo emergency medical/dental treatment, including the use of anaesthetics, as considered necessary by the medical authorities. I give permission for Urban Saints and SWYM to process the personal data given on this form for use in relation to my child taking part in this trip.

I understand that videos and photographs of young people attending Spree may be taken by participants and staff and attendance at Spree 2011 signifies agreement that these may appear in future publicity or other materials produced by Urban Saints or SWYM*. (*Personal information is never disclosed when such materials are used unless permission is obtained.)

I understand that if my son/daughter grossly misbehaves at this residential then the organisers may forbid them from further participation and require me to collect them at my expense. I agree to pay for deliberate damage to property caused by my son/daughter.

I enclose payment of £ which covers the fee charged by my child’s group + £7.50 for optional kayaking*. (*delete if not being booked)

Signature: (Parent or other adult with Date: parental responsibility)

Please return completed form + payment to your child’s group leader.

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