Please complete one form per person

Please use this form to apply for the following events

Training Weekend 2020

Humphrey’s at Rathmore, Larne


Friday 6th - Sunday 8th March

Cost: £60 (£20 Deposit)

Event Code: TW

Closing date: 24th Feb 2020

Young Adults Retreat 2020

Castlewellan Castle Christian Conference Centre


Friday 1st - Monday 4th May

Cost: £94 (£25 Deposit)

Event Code: CW

Closing date: 20th Apr 2020

Summer Camp 2020

Greenhill YMCA, Newcastle


Monday 3rd - Friday 7th August

Cost: £195 (£50 Deposit)

Event Code: SC

Closing date: 30th Apr 2020

Please note that the deposit for your selected event is non-refundable, and must be received no later than.

- Please make cheques payable to: Free Presbyterian Youth Council
- To pay by bank transfer, please contact us by email at secretary@fpcyouth.org for bank details.
Please include First Name Initial + Surname + Event Code on your bank transfer as reference (eg: JBloggsMO)

Please select the event(s) you'd like to apply for below

Feel free to select multiple if you are intending to attend several events.

What method will you be using to make payment?

Personal Details

Date of Birth:

Address:





Details of GP

Details of any allergies/special needs

Please Provide two emergency contact numbers

Parent/Guardian Consent (under 18's only)

I give permission for:

  1. my child to attend the selected event on the dates highlighted
  2. To take part in the activities organised
  3. To be administered with first aid if needed, by a trained first aider or medical treatment given if needed by a suitably qualified medical practitioner.

To the best of my knowledge, I confirm that the above details are correct.

Please sign using your finger or your mouse cursor in the box below: