Day Visitor Booking Form Person 1 (Main Contact) Your Name Congregation DoB (if under 18) Email Address (of guardian if under 18) Telephone (of guardian if under 18) Have you been Access NI checked is the last 3 years?* yesno How many people, including yourself, are you applying for? Please tick the days you will be attending SabbathMondayTuesdayWednesdayThursdayFriday You are also very welcome to join us on Saturday night at the start of the conference. Please use a separate form if you are applying for anyone attending on days different from yourself. * Required Person 2 Your Name* Congregation* DoB (if under 18) Email Address* (of guardian if under 18) Telephone* (of guardian if under 18) Have you been Access NI checked is the last 3 years?* yesno * Required Person 3 Your Name* Congregation* DoB (if under 18) Email Address* (of guardian if under 18) Telephone* (of guardian if under 18) Have you been Access NI checked is the last 3 years?* yesno * Required Person 4 Your Name* Congregation* DoB (if under 18) Email Address* (of guardian if under 18) Telephone* (of guardian if under 18) Have you been Access NI checked is the last 3 years?* yesno * Required Person 5 Your Name* Congregation* DoB (if under 18) Email Address* (of guardian if under 18) Telephone* (of guardian if under 18) Have you been Access NI checked is the last 3 years?* yesno * Required Person 6 Your Name* Congregation* DoB (if under 18) Email Address* (of guardian if under 18) Telephone* (of guardian if under 18) Have you been Access NI checked is the last 3 years?* yesno * Required Person 7 Your Name* Congregation* DoB (if under 18) Email Address* (of guardian if under 18) Telephone* (of guardian if under 18) Have you been Access NI checked is the last 3 years?* yesno * Required Person 8 Your Name* Congregation* DoB (if under 18) Email Address* (of guardian if under 18) Telephone* (of guardian if under 18) Have you been Access NI checked is the last 3 years?* yesno * Required Person 9 Your Name* Congregation* DoB (if under 18) Email Address* (of guardian if under 18) Telephone* (of guardian if under 18) Have you been Access NI checked is the last 3 years?* yesno * Required Person 10 Your Name* Congregation* DoB (if under 18) Email Address* (of guardian if under 18) Telephone* (of guardian if under 18) Have you been Access NI checked is the last 3 years?* yesno * Required Person 11 Your Name* Congregation* DoB (if under 18) Email Address* (of guardian if under 18) Telephone* (of guardian if under 18) Have you been Access NI checked is the last 3 years?* yesno * Required Person 12 Your Name* Congregation* DoB (if under 18) Email Address* (of guardian if under 18) Telephone* (of guardian if under 18) Have you been Access NI checked is the last 3 years?* yesno * Required Person 13 Your Name* Congregation* DoB (if under 18) Email Address* (of guardian if under 18) Telephone* (of guardian if under 18) Have you been Access NI checked is the last 3 years?* yesno * Required Person 14 Your Name* Congregation* DoB (if under 18) Email Address* (of guardian if under 18) Telephone* (of guardian if under 18) Have you been Access NI checked is the last 3 years?* yesno * Required Person 15 Your Name* Congregation* DoB (if under 18) Email Address* (of guardian if under 18) Telephone* (of guardian if under 18) Have you been Access NI checked is the last 3 years?* yesno * Required General If there is anything else you would like to make the committee aware of, please use the box provided below. All information provided will be used solely for the purpose of conference organisation by the RPCI Holiday Conference Committee. Meals and activities will be available to book at a later date.
