Summer Camps Booking Form Summer Camps Summer Camps Are you the parent/guardian of the child? * Yes No Is this booking for an Summer Camp place? * Yes No Please visit the YHA website for more information on other programmes that may be of interest. Where are you referring from? * Army RAF Navy Allocation code Young person's information First name * Last name * Gender * Male Female Date of birth * Age at camp * 8 years 9 years 10 years 11 years 12 years 13 years 14 years 15 years 16 years 17 years 18 years 19 years Is the young person a 'looked after child' (i.e. in Foster Care)? * Yes No Name of organisation (e.g. County Council) * Job title (e.g. social worker) * Contact name * Address Line 1 * Line 2 City * County Country Postcode * Contact email * Work telephone number * Mobile telephone number * Out of hours telephone number * Preferred choice Please indicate the camp you would like to book Camp * Action Adventure Go eXtreme Young Adventurer Location AA * YHA Edale YHA St Briavels Castle Young Adventurer * YHA Ravenstor Location GE * YHA Ironbridge Coalbrookdale Camp dates * 11TH AUGUST 2019 Camp dates * 11TH AUGUST 2019 18TH AUGUST 2019 Camp dates * 28TH JULY 2019 4TH AUGUST 2019 Camp dates * 18TH AUGUST 2019