Fill out this form to book your place on M+M. You can read our Terms and Conditions here.
Please see our Frequently Asked Questions for details on how cancellations, refunds and other operational matters relating to the pandemic will be handled.
Child's first name
Child's surname
Address
Line 1
Line 2
Town/City
County
Postcode
Contact phone
Contact email
Date of birth
Gender
Urban Saints/Energize/Church group attended (if any)
Friends with
Title
First name
Surname
Relationship to child
Address same as child?
Phone
Email
Sibling names
We would like to stay in touch and keep you up to date with future Camps and Urban Saints activities. We will respect how often we contact you, and you can change this at any time by emailing email@urbansaints.org.
We will never sell or swap your data with another organisation and will store your details securely, respecting your trust and privacy. For our full privacy policy, see www.urbansaints.org/privacypolicy
I understand that Urban Saints will keep a record of my child’s name, address, medical records and attendance at this event to comply with safeguarding requirements
During the course of the Camp, we plan to be taking videos and photographs for creating memories of Camp activities, for use in our publicity and or other material produced by Urban Saints. This may include publishing on websites and social media (see T&Cs section 12). Due to recent legislation changes, it is important that we seek permission from yourself and your child (over the age of 13) to take and use these images for these stated purposes. Please could you discuss with your child whether they are happy to give Urban Saints permission to include them in any photographs or videos taken and complete the consent box below as appropriate.
I am happy for Urban Saints to include my child in group videos and photographs of M+M Holiday activities and these may be used in future publicity, or other material produced by Urban Saints. I have consulted with my child who also gives permission.
Other
If you would find it difficult to pay the full fee of £250, please get in touch by emailing info@madnessandmayhem.org.uk, as there are bursaries available to support.
Payment method
Payment amount
Bank name: Natwest, M&M Holidays fees accountSort code: 60-13-23Account number: 47430702Ref: Your child's name
Please let us have any information now which would be helpful to the M+M Leaders in planning the holiday. A medical form will be sent shortly before the holiday commences and it is essential that it is completed and returned by a parent/guardian immediately.
However, in the meantime please let us have any information which would be helpful to the M+M Leaders in planning the holiday.
Dietary needs
Medical issues or disabilities
Behavioural/social needs
If English is not your child's first language
Anything else
I understand that there will be Christian teaching on the holiday. I agree to give my full support and co-operation to the Holiday Leader. I will behave appropriately at all times.
I agree to the Booking Terms & Conditions. I support and approve my son/daughter/ward taking part in this holiday. By submitting this, I apply for my child/ward to become a temporary member of Urban Saints and acknowledge that this will happen on acceptance of this application. I agree to pay any outstanding balance by 31st May 2022.