2026 Y-Fire Summer Youth Camp[Cantonese]

營會報名表 CAMPER REGISTRATION FORM

∣日期 Date ∣
21-24th Aug , 2026

∣對象 Target ∣
Year 10-13 （25/26）

∣語言 Language ∣
Cantonese

∣費用 FEE ∣
£140/pp

*營會後，參與全營的營友將獲£10營費津貼回贈 All campers who attend the entire camp will get a £10 refund for their camp fees.

∣地點 Venue ∣
COCM Mission Centre（ MK6 2ES）

∣查詢 Contact ∣
[Instagram]cocmyfire

∣備註 Remarks ∣

Please submit one form per person.
First-come, first-served basis.

English Full Name*

First NameLast Name

中文全名*

MF

出生日期 Birth Date*

Date

年級 Current School Year*

現居城市 City*

聯絡電話 Mobile Phone Number (WHATSAPP )*

Email*

信仰 Religion*

所屬教會/團契 Which church/fellowship do you go to？*

Please give the church's full name. If not, please fill in 'No.'

如有食物敏感、藥物/特殊需要，請列明讓大會留意。如果沒有，請寫「沒有」。Please describe any dietary requirements or medical issues that we should know about (including special needs or learning needs)? If none, please write "none".*

如你有其他兄弟姊妹一同報名參與是次營會，請列出他們的全名If you are registering another sibling, please list their full names:

Remember to submit one form per person

緊急聯絡人姓名 Emergency Contact's Name*

家長Parent監護人Guardian其他 Others

緊急聯絡電話 Emergency Contact Telephone Number*

TO THE PARENT/GUARDIAN:

A parent or guardian should read the following conditions and check the box below if they agree:

PAYMENT CONDITIONS
Payment is by Paypal or Debit/Credit Card. Places are not secured until payment has been received. Confirmed places are non-transferable and refunds will only be given in exceptional circumstances.

MEDICAL TREATMENT CONSENT
Safety is of paramount importance during the planning and running of all COCM events and all reasonable precautions will be taken to keep your child safe. However if a medical emergency occurs during the event, COCM staff present may need to request emergency services for assistance and COCM staff will make every effort to notify you before initiating such procedures. By sending your child to Summer Youth Camp 2026 you understand that we will take all necessary care to protect your child, but that you will remain liable for any medical expenses incurred in their treatment. You must notify us of any allergies or ongoing medical conditions the child has in the relevant sections of this registration form.

PRIVACY
Your privacy is important to us. COCM will never share personal details of you or your child with any external organisation. We will only use your contact details to send you information about Summer Camp 2026 or to contact you during the event. For more information on our data privacy policy, go to www.cocm.org.uk/data-privacy-notice)

By sending your child to Summer Youth Camp 2026 you also consent to us using any officially recorded photographs and videos of your child for future promotional purposes ,and consent for us to the use of WhatsApp (including the potential establishment of a WhatsApp group) to communicate with your child

I hereby give consent for my child to attend Summer Youth Camp 2026, and declare that I understand and agree to all of the conditions above.

家長/ 監護人姓名 Name of Parent/Guardian*

家長/ 監護人電郵 Email of Parent/Guardian*

簽署 Signature*

Camp Fee*

Stay 3 nights , Aug 21-24£140.00

All campers who attend the entire camp will get a £10 refund for their camp fees.

Total £0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

青少年的個人資料 Youth Information

EMERGENCY CONTACT