Gordon and Penny Curley: Bodybuilders Leaders Application Form 2024

Applicant’s Details

Name*

First Last

Gender*

Male
Female

Will you be under 18 at the start of the houseparty?*

Yes
No

Date of Birth*

Address*

Street Address Address Line 2 City Postcode

Home Phone Number

Mobile Number

Email Address*

Please indicate if you require any of the following special diets:

Vegetarian
Gluten-free
Dairy-free

Please provide details of any other dietary requirements and any food allergies:

Please provide details of any special medical needs including non-food allergies:

Children

If you would like to bring your children who are too young to be booked in as campers then please provide their details below. Please note that you will be fully responsible for their care at all times during the houseparty.

Children

Name(s)	DoB	Special Diets

Hidden

Datepicker

Please provide details of any other dietary requirements and any food allergies for your children:

Please provide details of any special medical needs including non-food allergies for your children:

Emergency Contact Details

Emergency contact during the house party (your parent/guardian if you are under 18)

Full Name*

First Last

Relationship to You*

Telephone Number*

Reference

Name of the church you attend

Church Leader's Name

Title First Last

The name of one of the leaders of your church who is willing to provide a reference

Church Leader's Telephone Number

Declarations and Consent

Do you have a current volunteers DBS certificate?*

Yes
No

A current volunteers DBS includes subscription to the update service, which will be accessed by Gordon & Penny Curley and the trustees of the Hampshire Regional Fellowship.

Declaration and Privacy Notice*

I am the applicant named above. I have read and accept the privacy notice and give my consent for Gordon & Penny Curley and the trustees of the Hampshire Regional Fellowship to view my current disclosure (DBS) certificate for volunteers on the update service.

Please click here to view the Privacy Notice.

Declaration and Privacy Notice*

I am the applicant named above. I have read and accept the privacy notice and give my consent for Gordon & Penny Curley and the trustees of the Hampshire Regional Fellowship to obtain a disclosure (DBS) certificate.

Please click here to view the Privacy Notice.

Parental Consent (If Under 18)*

I have permission from my parent/guardian to be a leader on the houseparty.

Child Protection Policy*

I have read and will adhere to the guidelines for working with children as described in section 3 of the Child Protection Policy.

Please click here to view the Child Protection Policy.

Do you have any convictions that are not 'protected' (as defined by the Rehabilitation of Offenders (Exceptions) (Northern Ireland) Order 1979, as amended in 2014) or do you have any cases pending, or are you on the Children or Adults Barred List?*

Yes
No

Please provide details:*

Over the years we have posted photos and videos of the houseparty online to share memories and give others a glimpse of what happens. We also sometimes use these images to help publicise events. Please read our photography policy for full details. Are you happy for photographs and videos to be taken of you and your children (if applicable) on the houseparty and to be used as described in our photography policy?*

Yes
No

Please click here to view the Photography Policy.

Gordon and Penny Curley and the trustees of the Hampshire Regional Fellowship would like to keep in touch with you to inform you about future events and activities that we think you may be interested in. Please indicate below which methods (if any) we can use to contact you for these purposes:

Email
Post
Text message
Telephone

Donation

In order to keep the house party fee affordable, we ask leaders to consider making a donation towards the expenses of the event. Our suggested donation is £70 (the same as the camper fee) but we value your time and efforts as a volunteer more than your money.
So if you are unable to afford the suggested donation amount, please contribute what you can. Every pound helps!

Important: please be aware that this is a free will donation and is not tied to your application. Therefore, if your application to be a leader is not accepted or you withdraw for any other reason, we are unable to refund your donation.

If someone else is making a donation on your behalf then please select 'No donation' below and ask the donor to make their donation via this link.

We can accept online donations by PayPal (you don't need a PayPal account). Please enter the amount you wish to donate below:

Donation Method*

£70 donation by PayPal
Other donation by PayPal (please enter below)
I would like to donate by cheque or bank transfer
No donation (this is totally fine)

Donation Amount*

Please enter the amount that you wish to donate here.

If you are a tax-payer then we can claim an extra 25% of your donation in Gift Aid if you tick the following declaration:

I would like to Gift Aid my donation. I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all my donations it is my responsibility to pay any difference.

Bodybuilders Leaders Application Form 2024

BodyBuilders Leaders Application Form

Applicant’s Details

Children

Emergency Contact Details

Reference

Declarations and Consent

Donation

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