Soul Survivor 2017 (Week A)


Last year we had a fantastic time at Soul Survivor in Somerset, and this year we are planning to do the same, just in Stafford! We are attending Week A (28th July to 2nd August) for a number of reasons (cost, transport and making it more open to all) and we really hope that your son/daughter will join us for this amazing “week”!

This form is to be completed in full by a parent or guardian only, and covers your child's attendance at Soul Survivor 2016, including transport to and from the event. The period of cover is from Friday 28th July – Wednesday 2nd August 2017.

We are also hoping to source transport from parent's/guardians/volunteers from church to help cut costs, but more information will follow about arrangements re. arriving and departing!

When you click submit on the form the data you provide is sent securely to Newcastle Baptist Church for us to book you a place onto the event. It goes without saying that we won't pass on your details to anyone else!


1. Details of young person


2. Parent / guardian contact details


3. Emergency contact details


4. Media and electronic communication

The church may also take photographs / video at groups which may include your child. They may be used to publicise further events or in church publications. Any pictures or video taken will be used sensitively and in compliance with our Media Policy which is available on request.


5. Medical permissions

In addition to the disclosure of notifiable medical conditions above, we may be required to provide basic medical aid to your child.


6. Payment details:

Price is inclusive of all food (fully catered), transport and all venues at the event (including main meetings, seminars, cafes, sports venues and pop up events). Payment must be made in full at the time of booking. If cost is a problem, please contact Tom to discuss your situation, as some help with costs may be available through the church. Bookings are made with Newcastle Baptist Church, and we will then book places with Soul Survivor accordingly. You do not need to contact Soul Survivor about booking.

Early Bird - £110, full payment must be received by end of Sunday 30th April 2017.
Standard - £125, full payment must be received before we go to Soul Survivor.

Please bring a cheque for the relevant amount payable to “Newcastle Baptist Church”
, and clearly write your childs name on the back of the cheque.


7. Declaration

I give permission for the young person named to attend Soul Survivor Week A 2017 from Friday 28th July – Wednesday 2nd August 2017.

I understand that while involved he/she will be under the control and care of the group leader, and/or other adults approved by the church leadership and that, while the staff in charge of the group will take all reasonable care of the children, they cannot necessarily be held responsible for any loss, damage or injury suffered by him/her duirng or as a result of, the activity.

I confirm that by clicking 'Submit' I am submitting full and accurate information and that I am the parent/guardian of the young person named.