FMJCA Retreat Day Guest Form

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FMJCA Retreat Day Guest Form

This form must be complete by adults only (18yrs an over). Please complete one form per person. If you are booking for a child (5-17 yrs) that will be attending with you please compete the form in your name and state the child's name below. (The adult that will be responsible for the child during their time at the retreat must complete the form)

First name

Last name

Phone Number

Date of Birth

* Will you be bringing any children 4yrs and under? If so, please tell us how many will be attending with you?

* If you are booking for a child (5 - 17 yrs) please state the child's name below

Select the date(s) that you will attend. Please note there is a £1 .50 booking fee per booking.

Saturday, 31st Aug 24 - Adults - £20 + £1.50 booking fee - £21.50

Saturday, 31st Aug 24 - Child (5-17 yrs) - £10 + £1.50 booking fee - £11.50

Sunday, 1st Sept 24 - Adult - £20 + £1.50 booking fee - £21.50

Sunday, 1st Sept 24 - Child (5-17 yrs) - £10 + £1.50 booking fee - £11.50

I would like to attend both dates (31 Aug & 1st Sept 24) - Adult - £40 + £1.50 booking fee - £41.50

I would like to attend both dates (31 Aug & 1st Sept 24) - Child (5-17 yrs) - £20 - £20

Thanks for your booking!

FMJCA Retreat Day Guest Form

Presiding Bishop: Dr. K. G. Mckoy

Manton, Worksop

Nottinghamshire S80 2UH

Tel/Fax: 01909 472524

Email: info@fmjca.com

Website: www.fmjca.com

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