Break Free 2024

At a glance

Our Theme:
Break Free & Have Faith

Retreat Verse:
For we walk by faith, not by sight. – 2 Corinthians 5:7

Age Group:
Years 7-13

Dates:
23 – 26 August 2024

Price Per Person:
£175

Secure your spot:
By 12 May 2024

Location:
Little Canada, New Rd, Wootton Bridge, Ryde PO33 4JP

How to book

1

Ask your parent or guardian to fill out the registration form.

Register

2

Make a payment.
You can pay the full amount of £175 or pay a deposit of £50 and pay the rest later.
Remember the deadline for full payment is 16 June 2024

3

If you paid a deposit, you can make a further payment by clicking the button below.

make a payment

Break Free 2024 Registration

Step 1 of 7 - Consent

Consent(Required)

The information collected in this registration form is required by the PGL Centre and will not be stored or used by the church.

I consent to the statement above and happy to continue

Attendee's Full Name:(Required)

First Last

Address:(Required)

Street Address Address Line 2 City ZIP / Postal Code Country

Date of Birth:(Required)

Mobile Number:(Required)

Email:(Required)

Enter Email Confirm Email

Place of birth:(Required)

Parent/Guardian Full Name:(Required)

First Last

Mobile Number:(Required)

Name of Doctor(Required)

Prefix First Last

Please give details of any medical conditions, allergies or current medication

Is your child allergic to any medication?(Required)

Please provide details on allergies to medication(Required)

Please give details of any special dietary requirements

Is your child able to swim 50 metres or more?(Required)

Is your child water confident (can duck head underwater & swim 15m in a life jacket/buoyancy aid without panic)?(Required)

Is your child unable to swim?(Required)

Parent/Guardian Consent(Required)

I have read the information sheet provided and agree to my child’s participation in the activities described. I believe that the information provided above is correct and will notify the course organiser of any changes as soon as possible. I agree to my child receiving medication as instructed and to any emergency dental, medical or surgical treatment as considered necessary by the medical authorities present. I understand the extent and limitations of the insurance cover provided.

I agree to the declaration above

Please select if your preferred payment option(Required)

Total

Credit Card(Required)

American Express

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Comments

This field is for validation purposes and should be left unchanged.

Make a payment

Has a payment been made previously for the attendee?(Required)

This form are for those who have registered and paid a deposit. Please complete the registration form here first.

Attendee's Full Name(Required)

First Last

Email(Required)

Please enter the amount you would like to pay.(Required)

Remember the total is £175 per attendee

Total

Credit Card(Required)

American Express

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Comments

This field is for validation purposes and should be left unchanged.

At a glance

Our Theme: Break Free & Have Faith

Retreat Verse: For we walk by faith, not by sight. – 2 Corinthians 5:7

Age Group: Years 7-13

Dates: 23 – 26 August 2024

Price Per Person: £175

Secure your spot: By 12 May 2024

Location: Little Canada, New Rd, Wootton Bridge, Ryde PO33 4JP

How to book

1

Ask your parent or guardian to fill out the registration form.

2

Make a payment. You can pay the full amount of £175 or pay a deposit of £50 and pay the rest later. Remember the deadline for full payment is 16 June 2024

3

If you paid a deposit, you can make a further payment by clicking the button below.

Break Free 2024 Registration

Make a payment

Our Theme:
Break Free & Have Faith

Retreat Verse:
For we walk by faith, not by sight. – 2 Corinthians 5:7

Age Group:
Years 7-13

Dates:
23 – 26 August 2024

Price Per Person:
£175

Secure your spot:
By 12 May 2024

Location:
Little Canada, New Rd, Wootton Bridge, Ryde PO33 4JP

Make a payment.
You can pay the full amount of £175 or pay a deposit of £50 and pay the rest later.
Remember the deadline for full payment is 16 June 2024