Please complete one form per person

Please use this form to apply for the following events

Young Adults Retreat 2021

Castlewellan Castle Christian Conference Centre

Friday 30th July - Monday 2nd August

Cost: £89 (age 15-18), £95 (age 19+) (£25 Deposit)

Event Code: CW

Closing date: Tuesday 27th July 2021

Summer Camp 2021

Greenhill YMCA, Newcastle

Monday 9th - Friday 13th August

Cost: £195 (£50 Deposit)

Event Code: SC

Closing date: 30th Apr 2021

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 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:


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: