Counties Hampshire, Evangelist Christian Gospel and Bible teaching

Good News Camp Leaders Application Form

Please complete one application form for EACH person attending.

Please fill out the automated contact form below, and then securely make a donation online using PayPal.

Online Application Form

Attendee Information:

Full Name*
Gender* MaleFemale
Date of Birth
(if under 18)
Doctor's Name*
Doctor's Phone*

Emergency Contact Details (Parent/Guardian if Under 18):

Full Name*
Emergency Contact #*
(If Different to Above)

Additional Information (Answer No or Yes and Give Details):

Special Dietary Needs
All fields marked * are required.
Please read and select:
I am over 18 and I agree that the information on this form is correct. If required, I agree that emergency medical treatment may be given as appropriate.

I am a Parent/Guardian and I have read the information contained in the brochure or on the relevant section of this website, and I am willing for my child to attend the event. The person applying is fit to attend the event and is able to participate in all activities (unless otherwise indicated in my reply to your follow-up email). She/He will abide by event rules or I am willing to collect my child from the event and take him/her back home. If required, I agree that emergency medical treatment may be given as appropriate.

If you are a tax-payer then, with the completion of a Gift Aid declaration form, we can claim an extra 25% of your donation from HMRC. If you would like us to treat your donation as a Gift Aid donation, please tick this box, confirming that you are a UK Income or Capital Gains taxpayer and the following declaration: I have read this statement and want Counties HRF to reclaim tax on my donation(s). I understand that I must pay an amount of Income Tax and/or Capital Gains Tax in the tax year at least equal to the amount of tax that all the charities and CASCs I donate to will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 25p of tax on every £1 that I have given.

After you fill out the online form above, you will be sent an email to request additional information. You can respond to this request by email or by post.

You will also be linked directly to a page where you can click the PayPal secure payment button to make payment.

We will endeavour to resolve any issues ourselves. In the first instance of any dispute please contact us, however our dispute resolution process is also party to the EU Online Dispute Resolution service.