On-site Booking Form

    Person 1 (Main Contact)

    1. Your Name

    2. Congregation

    3. DoB (if under 18)

    4. Accommodation

    5. Email Address (of guardian if under 18)

    6. Telephone (of guardian if under 18)

    7. Dietary requirements or other notes

    8. Have you been Access NI checked in the last 3 years?* yesno

    9. Can you help with any of these during the week?

    10. How many people (including yourself) are you applying for?


    * Required

    Person 2

    1. Your Name*

    2. Congregation*

    3. DoB (if under 18)

    4. accommodation*

    5. Email Address* (of guardian if under 18)

    6. Telephone* (of guardian if under 18)

    7. Dietary requirements or other notes

    8. Have you been Access NI checked in the last 3 years?* yesno

    9. Can you help with any of these during the week?


    * Required

    Person 3

    1. Your Name*

    2. Congregation*

    3. DoB (if under 18)

    4. accommodation*

    5. Email Address* (of guardian if under 18)

    6. Telephone* (of guardian if under 18)

    7. Dietary requirements or other notes

    8. Have you been Access NI checked in the last 3 years?* yesno

    9. Can you help with any of these during the week?


    * Required

    Person 4

    1. Your Name*

    2. Congregation*

    3. DoB (if under 18)

    4. accommodation*

    5. Email Address* (of guardian if under 18)

    6. Telephone* (of guardian if under 18)

    7. Dietary requirements or other notes

    8. Have you been Access NI checked in the last 3 years?* yesno

    9. Can you help with any of these during the week?


    * Required

    Person 5

    1. Your Name*

    2. Congregation*

    3. DoB (if under 18)

    4. accommodation*

    5. Email Address* (of guardian if under 18)

    6. Telephone* (of guardian if under 18)

    7. Dietary requirements or other notes

    8. Have you been Access NI checked in the last 3 years?* yesno

    9. Can you help with any of these during the week?


    * Required

    Person 6

    1. Your Name*

    2. Congregation*

    3. DoB (if under 18)

    4. accommodation*

    5. Email Address* (of guardian if under 18)

    6. Telephone* (of guardian if under 18)

    7. Dietary requirements or other notes

    8. Have you been Access NI checked in the last 3 years?* yesno

    9. Can you help with any of these during the week?


    * Required

    Person 7

    1. Your Name*

    2. Congregation*

    3. DoB (if under 18)

    4. accommodation*

    5. Email Address* (of guardian if under 18)

    6. Telephone* (of guardian if under 18)

    7. Dietary requirements or other notes

    8. Have you been Access NI checked in the last 3 years?* yesno

    9. Can you help with any of these during the week?


    * Required

    Person 8

    1. Your Name*

    2. Congregation*

    3. DoB (if under 18)

    4. accommodation*

    5. Email Address* (of guardian if under 18)

    6. Telephone* (of guardian if under 18)

    7. Dietary requirements or other notes

    8. Have you been Access NI checked in the last 3 years?* yesno

    9. Can you help with any of these during the week?


    * Required

    Person 9

    1. Your Name*

    2. Congregation*

    3. DoB (if under 18)

    4. accommodation*

    5. Email Address* (of guardian if under 18)

    6. Telephone* (of guardian if under 18)

    7. Dietary requirements or other notes

    8. Have you been Access NI checked in the last 3 years?* yesno

    9. Can you help with any of these during the week?


    * Required

    Person 10

    1. Your Name*

    2. Congregation*

    3. DoB (if under 18)

    4. accommodation*

    5. Email Address* (of guardian if under 18)

    6. Telephone* (of guardian if under 18)

    7. Dietary requirements or other notes

    8. Have you been Access NI checked in the last 3 years?* yesno

    9. Can you help with any of these during the week?


    * Required

    Person 11

    1. Your Name*

    2. Congregation*

    3. DoB (if under 18)

    4. accommodation*

    5. Email Address* (of guardian if under 18)

    6. Telephone* (of guardian if under 18)

    7. Dietary requirements or other notes

    8. Have you been Access NI checked in the last 3 years?* yesno

    9. Can you help with any of these during the week?


    * Required

    Person 12

    1. Your Name*

    2. Congregation*

    3. DoB (if under 18)

    4. accommodation*

    5. Email Address* (of guardian if under 18)

    6. Telephone* (of guardian if under 18)

    7. Dietary requirements or other notes

    8. Have you been Access NI checked in the last 3 years?* yesno

    9. Can you help with any of these during the week?


    * Required

    Person 13

    1. Your Name*

    2. Congregation*

    3. DoB (if under 18)

    4. accommodation*

    5. Email Address* (of guardian if under 18)

    6. Telephone* (of guardian if under 18)

    7. Dietary requirements or other notes

    8. Have you been Access NI checked in the last 3 years?* yesno

    9. Can you help with any of these during the week?


    * Required

    Person 14

    1. Your Name*

    2. Congregation*

    3. DoB (if under 18)

    4. accommodation*

    5. Email Address* (of guardian if under 18)

    6. Telephone* (of guardian if under 18)

    7. Dietary requirements or other notes

    8. Have you been Access NI checked in the last 3 years?* yesno

    9. Can you help with any of these during the week?


    * Required

    Person 15

    1. Your Name*

    2. Congregation*

    3. DoB (if under 18)

    4. accommodation*

    5. Email Address* (of guardian if under 18)

    6. Telephone* (of guardian if under 18)

    7. Dietary requirements or other notes

    8. Have you been Access NI checked in the last 3 years?* yesno

    9. Can you help with any of these during the week?


    * Required

    General

    1. 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.

    2. 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 are included with Chalet & Farmhouse accommodation.

    Bookings for meals for campers/caravanners will be available at a later date.

    Activities will also be available for booking at a later date.