BOOKING FORM

Name……………………………………………………………… ADDRESS..............................................................................

……………………………………………………………………..…………………………………… POSTCODE…..……………..

D.O.B.……………….…………………………………. MALE / FEMALE

(Delete as appropriate)

Church / Youth Group ………………………………………………………E-mail address…………………………………………………….

I wish / my child* to go on the Liv’it Camp in July 2011 @ Hollybush, Northallerton. I enclose a £30 non-returnable deposit to reserve a place.

( * Delete if over 18)

Signed: …………………………………………..

(Parent / Guardian, if under 18 yrs)

Please return completed form to either your Youth Leader or send to “Liv’it Camp”; C/O 27, Normandy Crescent, Radcliffe, Manchester, M26 3TD.

Please make all cheques payable to “LIVIT” If you are interested in spreading the cost over a few months, then please indicate by ticking the box below, and we will send you the appropriate forms

□

Please Note: Hollybush has a strict non-smoking; non-alcoholic and non-drug policy

THE LOW - DOWN

Where? - Hollybush Farm, Northallerton, N. Yorks When? - 23rd – 28^th July 2011

How Much? - £130.00 all inclusive. Special early booking discount only £120, if you book a place before Easter Sunday 2011

Who? - Anyone from 11 – 25 yrs old How Many? - Places will be limited to a max. of 100, so make sure you book early !!!

What Next? - Complete the booking form on this leaflet and return with a non-returnable deposit of £30 to reserve your place. Send to the address shown or give it to your Youth Leader.

Any Questions or more details contact:

John 0161 724 7553 jr@d40.biz

Mark 07818 – 447897 Mark_Lomas@puddin21.freeeserve.co.uk