Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.FULL NAME OF CHILD / CHILDREN *CHILD / CHILDREN'S AGE/S *ADDRESS *Address Line 1Address Line 2CityState / Province / RegionPostal Code--- Select country ---AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryDATES WHEN ATTENDING KIDS CAMP *Wednesday 23rd JulyThursday 24th JulyFriday 25th JulySaturday 26th JulyPAYMENT/ DONATION AMOUNT *PARENT’S/ GUARDIAN’S NAME: *FirstLast “PRIVACY ME CONTACT NUMBER *HEALTH CONDITIONS/ALLERGY-YES/ NO (IF ANY)FOR NUTRITIONAL AND HEALTH PURPOSES, PLEASE KINDLY INDICATE ANY KNOWN ALLERGIES OR DIETARY REQUIREMENTS.MEDIA CONSENT: DO WE HAVE CONSENT TO TAKE PHOTOS/VIDEOS OF YOUR PARTICIPATION IN THE EVENT FOR PROMOTIONAL PURPOSES? YES /NO *YesNoPARENT / GUARDIAN’S NAME: *FirstLastDATE *SIGNATURE *Please Type Your Name As Your SignatureBSS GOSPEL CAMP PARENTAL CONSENT I hereby authorise my child to attend the above event and I am aware that my child will participate in both outdoors and indoors activities. I consent for my child to be photographed and that my child’s photographs should be used on the group’s (church) website, forum and for advertising (marketing) and other purposes relating to future BSS events. I declare that I have been informed that my child’s photographs will not be used for purposes other than that stated above. By Signing this form, I confirm that I am also consenting to you holding and storing my personal data and that of my child for the following purposes: To Store our information in the group folders including online data bases. (PLEASE TICK YES OR NO BASED ON THE MESSAGE ABOVE) TO KEEP ME INFORMED ABOUT NEWS, EVENTS, ACTIVITIES AND SERVICES OF THE GROUP OR THE CHURCH. *YESNOTO ADD ME ON A WHATSAPP FORUM RELATING TO THIS EVENT ONLY. *YESNOYOU CAN FIND OUT MORE ABOUT HOW WE USE YOUR DATA FROM OUR “PRIVACY NOTICE” WHICH IS AVAILABLE FROM THE CHURCH’S WEBSITE *YESNOYou can withdraw or change your consent at any time by either sending an email to (bss@cacbethel.org) or by contacting us directly on telephone number 020 7729 4375/ 07941219133. PARENT / GUARDIAN’S NAME: *FirstLastSIGNATURE *Please Type Your Name As Your SignatureDATE *Submit