On-site Booking Form Person 1 (Main Contact) Your Name Congregation DoB (if under 18) Accommodation —Please choose an option—Chalet & FarmhouseCaravanCamper vanTent (1-2)Tent (3-5)Tent (6+) Email Address (of guardian if under 18) Telephone (of guardian if under 18) Dietary requirements or other notes Have you been Access NI checked in the last 3 years?* yesno Can you help with any of these during the week? PrecentingCrècheChildren's WorkServing TeaFirst AidSound Desk How many people (including yourself) are you applying for? * Required Person 2 Your Name* Congregation* DoB (if under 18) accommodation* —Please choose an option—Chalet & FarmhouseCaravanCamper vanTent (1-2)Tent (3-5)Tent (6+) Email Address* (of guardian if under 18) Telephone* (of guardian if under 18) Dietary requirements or other notes Have you been Access NI checked in the last 3 years?* yesno Can you help with any of these during the week? PrecentingCrècheChildren's WorkServing TeaFirst AidSound Desk * Required Person 3 Your Name* Congregation* DoB (if under 18) accommodation* —Please choose an option—Chalet & FarmhouseCaravanCamper vanTent (1-2)Tent (3-5)Tent (6+) Email Address* (of guardian if under 18) Telephone* (of guardian if under 18) Dietary requirements or other notes Have you been Access NI checked in the last 3 years?* yesno Can you help with any of these during the week? PrecentingCrècheChildren's WorkServing TeaFirst AidSound Desk * Required Person 4 Your Name* Congregation* DoB (if under 18) accommodation* —Please choose an option—Chalet & FarmhouseCaravanCamper vanTent (1-2)Tent (3-5)Tent (6+) Email Address* (of guardian if under 18) Telephone* (of guardian if under 18) Dietary requirements or other notes Have you been Access NI checked in the last 3 years?* yesno Can you help with any of these during the week? PrecentingCrècheChildren's WorkServing TeaFirst AidSound Desk * Required Person 5 Your Name* Congregation* DoB (if under 18) accommodation* —Please choose an option—Chalet & FarmhouseCaravanCamper vanTent (1-2)Tent (3-5)Tent (6+) Email Address* (of guardian if under 18) Telephone* (of guardian if under 18) Dietary requirements or other notes Have you been Access NI checked in the last 3 years?* yesno Can you help with any of these during the week? PrecentingCrècheChildren's WorkServing TeaFirst AidSound Desk * Required Person 6 Your Name* Congregation* DoB (if under 18) accommodation* —Please choose an option—Chalet & FarmhouseCaravanCamper vanTent (1-2)Tent (3-5)Tent (6+) Email Address* (of guardian if under 18) Telephone* (of guardian if under 18) Dietary requirements or other notes Have you been Access NI checked in the last 3 years?* yesno Can you help with any of these during the week? PrecentingCrècheChildren's WorkServing TeaFirst AidSound Desk * Required Person 7 Your Name* Congregation* DoB (if under 18) accommodation* —Please choose an option—Chalet & FarmhouseCaravanCamper vanTent (1-2)Tent (3-5)Tent (6+) Email Address* (of guardian if under 18) Telephone* (of guardian if under 18) Dietary requirements or other notes Have you been Access NI checked in the last 3 years?* yesno Can you help with any of these during the week? PrecentingCrècheChildren's WorkServing TeaFirst AidSound Desk * Required Person 8 Your Name* Congregation* DoB (if under 18) accommodation* —Please choose an option—Chalet & FarmhouseCaravanCamper vanTent (1-2)Tent (3-5)Tent (6+) Email Address* (of guardian if under 18) Telephone* (of guardian if under 18) Dietary requirements or other notes Have you been Access NI checked in the last 3 years?* yesno Can you help with any of these during the week? PrecentingCrècheChildren's WorkServing TeaFirst AidSound Desk * Required Person 9 Your Name* Congregation* DoB (if under 18) accommodation* —Please choose an option—Chalet & FarmhouseCaravanCamper vanTent (1-2)Tent (3-5)Tent (6+) Email Address* (of guardian if under 18) Telephone* (of guardian if under 18) Dietary requirements or other notes Have you been Access NI checked in the last 3 years?* yesno Can you help with any of these during the week? PrecentingCrècheChildren's WorkServing TeaFirst AidSound Desk * Required Person 10 Your Name* Congregation* DoB (if under 18) accommodation* —Please choose an option—Chalet & FarmhouseCaravanCamper vanTent (1-2)Tent (3-5)Tent (6+) Email Address* (of guardian if under 18) Telephone* (of guardian if under 18) Dietary requirements or other notes Have you been Access NI checked in the last 3 years?* yesno Can you help with any of these during the week? PrecentingCrècheChildren's WorkServing TeaFirst AidSound Desk * Required Person 11 Your Name* Congregation* DoB (if under 18) accommodation* —Please choose an option—Chalet & FarmhouseCaravanCamper vanTent (1-2)Tent (3-5)Tent (6+) Email Address* (of guardian if under 18) Telephone* (of guardian if under 18) Dietary requirements or other notes Have you been Access NI checked in the last 3 years?* yesno Can you help with any of these during the week? PrecentingCrècheChildren's WorkServing TeaFirst AidSound Desk * Required Person 12 Your Name* Congregation* DoB (if under 18) accommodation* —Please choose an option—Chalet & FarmhouseCaravanCamper vanTent (1-2)Tent (3-5)Tent (6+) Email Address* (of guardian if under 18) Telephone* (of guardian if under 18) Dietary requirements or other notes Have you been Access NI checked in the last 3 years?* yesno Can you help with any of these during the week? PrecentingCrècheChildren's WorkServing TeaFirst AidSound Desk * Required Person 13 Your Name* Congregation* DoB (if under 18) accommodation* —Please choose an option—Chalet & FarmhouseCaravanCamper vanTent (1-2)Tent (3-5)Tent (6+) Email Address* (of guardian if under 18) Telephone* (of guardian if under 18) Dietary requirements or other notes Have you been Access NI checked in the last 3 years?* yesno Can you help with any of these during the week? PrecentingCrècheChildren's WorkServing TeaFirst AidSound Desk * Required Person 14 Your Name* Congregation* DoB (if under 18) accommodation* —Please choose an option—Chalet & FarmhouseCaravanCamper vanTent (1-2)Tent (3-5)Tent (6+) Email Address* (of guardian if under 18) Telephone* (of guardian if under 18) Dietary requirements or other notes Have you been Access NI checked in the last 3 years?* yesno Can you help with any of these during the week? PrecentingCrècheChildren's WorkServing TeaFirst AidSound Desk * Required Person 15 Your Name* Congregation* DoB (if under 18) accommodation* —Please choose an option—Chalet & FarmhouseCaravanCamper vanTent (1-2)Tent (3-5)Tent (6+) Email Address* (of guardian if under 18) Telephone* (of guardian if under 18) Dietary requirements or other notes Have you been Access NI checked in the last 3 years?* yesno Can you help with any of these during the week? PrecentingCrècheChildren's WorkServing TeaFirst AidSound Desk * Required General If you would like to share accommodation with people not on this form, please let us know in the space below. Allocation will be at the discretion of the committee, but we will endeavour to fulfil everyone's preferences. 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.
