Wild Street Five Weekend Away 2026 • Wild Street

Full Weekend Adult 0

Attendee Details

First Name *

Last Name *

Email Address *

Mobile Number *

If you have selected a One Night ticket, please indicate which night.

Friday night

Saturday night

Do you have special Dietary Requirements? If Yes, please provide details:

Tip: CMS caters for a range of dietary needs but not for individual diets prescribed by dietitians or health professionals. CMS aims to be a nut free site but cannot guarantee that meals are free from traces of allergens. Guests are welcome to bring their own food if they have life threatening food allergies. If you have any questions, chat to Sophie.

Medical Needs: Please specify below if you have any medical needs the site / camp coordinators need to be aware of:

I need a ride to the Weekend Away

Yes

No

I can give someone a ride to the Weekend Away

Yes

No

Additional Comments

Are you an adult registering a child under 18? *

Yes. Go to Permissions

No. Click NEXT

Permissions

I, named below, give the following permissions for my child/ren registering for the WS Five Weekend Away in this form:

Tip: Parent/Guardian Name

Email Address

Phone number

My submission of this form indicates my willingness to permit my child/ren (listed below) to attend and participate fully in the the WS Five Weekend Away.

I agree

I authorise the leaders in charge of WS Five Weekend Away where it is impracticable to communicate with me, to arrange for my child to receive such medical treatment as the leaders may deem necessary while in the care of the leaders. I further authorise the use of an ambulance if in the leader's judgement is deemed necessary. I accept responsibility for all payments associated with such treatment.

I agree

I give permission for photographs to be taken of my child/ren for the purposes of Wild Street Church promotional material

Yes

No

I acknowledge that being part of a community involves mutual care and consideration, and therefore agree that unacceptable behaviour may result in my child being sent home.

I agree

I will provide the minister, Josh Phillips, with any information relevant to the wellbeing of my child prior to him or her attending the WS Five Weekend Away.

I agree

I confirm that the information given in this form is true and correct, and will advise the minister, Josh Phillips of any changes to this information.

I agree

Please provide any other information that can help us to care for your child over the weekend

One Night Adult 0

Attendee Details

First Name *

Last Name *

Email Address *

Mobile Number *

If you have selected a One Night ticket, please indicate which night.

Friday night

Saturday night

Do you have special Dietary Requirements? If Yes, please provide details:

Tip: CMS caters for a range of dietary needs but not for individual diets prescribed by dietitians or health professionals. CMS aims to be a nut free site but cannot guarantee that meals are free from traces of allergens. Guests are welcome to bring their own food if they have life threatening food allergies. If you have any questions, chat to Sophie.

Medical Needs: Please specify below if you have any medical needs the site / camp coordinators need to be aware of:

I need a ride to the Weekend Away

Yes

No

I can give someone a ride to the Weekend Away

Yes

No

Additional Comments

Are you an adult registering a child under 18? *

Yes. Go to Permissions

No. Click NEXT

Permissions

I, named below, give the following permissions for my child/ren registering for the WS Five Weekend Away in this form:

Tip: Parent/Guardian Name

Email Address

Phone number

My submission of this form indicates my willingness to permit my child/ren (listed below) to attend and participate fully in the the WS Five Weekend Away.

I agree

I authorise the leaders in charge of WS Five Weekend Away where it is impracticable to communicate with me, to arrange for my child to receive such medical treatment as the leaders may deem necessary while in the care of the leaders. I further authorise the use of an ambulance if in the leader's judgement is deemed necessary. I accept responsibility for all payments associated with such treatment.

I agree

I give permission for photographs to be taken of my child/ren for the purposes of Wild Street Church promotional material

Yes

No

I acknowledge that being part of a community involves mutual care and consideration, and therefore agree that unacceptable behaviour may result in my child being sent home.

I agree

I will provide the minister, Josh Phillips, with any information relevant to the wellbeing of my child prior to him or her attending the WS Five Weekend Away.

I agree

I confirm that the information given in this form is true and correct, and will advise the minister, Josh Phillips of any changes to this information.

I agree

Please provide any other information that can help us to care for your child over the weekend

Saturday - Day 0

Attendee Details

First Name *

Last Name *

Email Address *

Mobile Number *

If you have selected a One Night ticket, please indicate which night.

Friday night

Saturday night

Do you have special Dietary Requirements? If Yes, please provide details:

Tip: CMS caters for a range of dietary needs but not for individual diets prescribed by dietitians or health professionals. CMS aims to be a nut free site but cannot guarantee that meals are free from traces of allergens. Guests are welcome to bring their own food if they have life threatening food allergies. If you have any questions, chat to Sophie.

Medical Needs: Please specify below if you have any medical needs the site / camp coordinators need to be aware of:

I need a ride to the Weekend Away

Yes

No

I can give someone a ride to the Weekend Away

Yes

No

Additional Comments

Are you an adult registering a child under 18? *

Yes. Go to Permissions

No. Click NEXT

Permissions

I, named below, give the following permissions for my child/ren registering for the WS Five Weekend Away in this form:

Tip: Parent/Guardian Name

Email Address

Phone number

My submission of this form indicates my willingness to permit my child/ren (listed below) to attend and participate fully in the the WS Five Weekend Away.

I agree

I authorise the leaders in charge of WS Five Weekend Away where it is impracticable to communicate with me, to arrange for my child to receive such medical treatment as the leaders may deem necessary while in the care of the leaders. I further authorise the use of an ambulance if in the leader's judgement is deemed necessary. I accept responsibility for all payments associated with such treatment.

I agree

I give permission for photographs to be taken of my child/ren for the purposes of Wild Street Church promotional material

Yes

No

I acknowledge that being part of a community involves mutual care and consideration, and therefore agree that unacceptable behaviour may result in my child being sent home.

I agree

I will provide the minister, Josh Phillips, with any information relevant to the wellbeing of my child prior to him or her attending the WS Five Weekend Away.

I agree

I confirm that the information given in this form is true and correct, and will advise the minister, Josh Phillips of any changes to this information.

I agree

Please provide any other information that can help us to care for your child over the weekend

Sunday Day 0

Attendee Details

First Name *

Last Name *

Email Address *

Mobile Number *

If you have selected a One Night ticket, please indicate which night.

Friday night

Saturday night

Do you have special Dietary Requirements? If Yes, please provide details:

Tip: CMS caters for a range of dietary needs but not for individual diets prescribed by dietitians or health professionals. CMS aims to be a nut free site but cannot guarantee that meals are free from traces of allergens. Guests are welcome to bring their own food if they have life threatening food allergies. If you have any questions, chat to Sophie.

Medical Needs: Please specify below if you have any medical needs the site / camp coordinators need to be aware of:

I need a ride to the Weekend Away

Yes

No

I can give someone a ride to the Weekend Away

Yes

No

Additional Comments

Are you an adult registering a child under 18? *

Yes. Go to Permissions

No. Click NEXT

Permissions

I, named below, give the following permissions for my child/ren registering for the WS Five Weekend Away in this form:

Tip: Parent/Guardian Name

Email Address

Phone number

My submission of this form indicates my willingness to permit my child/ren (listed below) to attend and participate fully in the the WS Five Weekend Away.

I agree

I authorise the leaders in charge of WS Five Weekend Away where it is impracticable to communicate with me, to arrange for my child to receive such medical treatment as the leaders may deem necessary while in the care of the leaders. I further authorise the use of an ambulance if in the leader's judgement is deemed necessary. I accept responsibility for all payments associated with such treatment.

I agree

I give permission for photographs to be taken of my child/ren for the purposes of Wild Street Church promotional material

Yes

No

I acknowledge that being part of a community involves mutual care and consideration, and therefore agree that unacceptable behaviour may result in my child being sent home.

I agree

I will provide the minister, Josh Phillips, with any information relevant to the wellbeing of my child prior to him or her attending the WS Five Weekend Away.

I agree

I confirm that the information given in this form is true and correct, and will advise the minister, Josh Phillips of any changes to this information.

I agree

Please provide any other information that can help us to care for your child over the weekend

Child Full Weekend (3-5) 0

Attendee Details

First Name *

Last Name *

Email Address *

Mobile Number *

If you have selected a One Night ticket, please indicate which night.

Friday night

Saturday night

Do you have special Dietary Requirements? If Yes, please provide details:

Tip: CMS caters for a range of dietary needs but not for individual diets prescribed by dietitians or health professionals. CMS aims to be a nut free site but cannot guarantee that meals are free from traces of allergens. Guests are welcome to bring their own food if they have life threatening food allergies. If you have any questions, chat to Sophie.

Medical Needs: Please specify below if you have any medical needs the site / camp coordinators need to be aware of:

I need a ride to the Weekend Away

Yes

No

I can give someone a ride to the Weekend Away

Yes

No

Additional Comments

Are you an adult registering a child under 18? *

Yes. Go to Permissions

No. Click NEXT

Permissions

I, named below, give the following permissions for my child/ren registering for the WS Five Weekend Away in this form:

Tip: Parent/Guardian Name

Email Address

Phone number

My submission of this form indicates my willingness to permit my child/ren (listed below) to attend and participate fully in the the WS Five Weekend Away.

I agree

I authorise the leaders in charge of WS Five Weekend Away where it is impracticable to communicate with me, to arrange for my child to receive such medical treatment as the leaders may deem necessary while in the care of the leaders. I further authorise the use of an ambulance if in the leader's judgement is deemed necessary. I accept responsibility for all payments associated with such treatment.

I agree

I give permission for photographs to be taken of my child/ren for the purposes of Wild Street Church promotional material

Yes

No

I acknowledge that being part of a community involves mutual care and consideration, and therefore agree that unacceptable behaviour may result in my child being sent home.

I agree

I will provide the minister, Josh Phillips, with any information relevant to the wellbeing of my child prior to him or her attending the WS Five Weekend Away.

I agree

I confirm that the information given in this form is true and correct, and will advise the minister, Josh Phillips of any changes to this information.

I agree

Please provide any other information that can help us to care for your child over the weekend

Infant Full Weekend (0-2) 0

Attendee Details

First Name *

Last Name *

Email Address *

Mobile Number *

If you have selected a One Night ticket, please indicate which night.

Friday night

Saturday night

Do you have special Dietary Requirements? If Yes, please provide details:

Tip: CMS caters for a range of dietary needs but not for individual diets prescribed by dietitians or health professionals. CMS aims to be a nut free site but cannot guarantee that meals are free from traces of allergens. Guests are welcome to bring their own food if they have life threatening food allergies. If you have any questions, chat to Sophie.

Medical Needs: Please specify below if you have any medical needs the site / camp coordinators need to be aware of:

I need a ride to the Weekend Away

Yes

No

I can give someone a ride to the Weekend Away

Yes

No

Additional Comments

Are you an adult registering a child under 18? *

Yes. Go to Permissions

No. Click NEXT

Permissions

I, named below, give the following permissions for my child/ren registering for the WS Five Weekend Away in this form:

Tip: Parent/Guardian Name

Email Address

Phone number

My submission of this form indicates my willingness to permit my child/ren (listed below) to attend and participate fully in the the WS Five Weekend Away.

I agree

I authorise the leaders in charge of WS Five Weekend Away where it is impracticable to communicate with me, to arrange for my child to receive such medical treatment as the leaders may deem necessary while in the care of the leaders. I further authorise the use of an ambulance if in the leader's judgement is deemed necessary. I accept responsibility for all payments associated with such treatment.

I agree

I give permission for photographs to be taken of my child/ren for the purposes of Wild Street Church promotional material

Yes

No

I acknowledge that being part of a community involves mutual care and consideration, and therefore agree that unacceptable behaviour may result in my child being sent home.

I agree

I will provide the minister, Josh Phillips, with any information relevant to the wellbeing of my child prior to him or her attending the WS Five Weekend Away.

I agree

I confirm that the information given in this form is true and correct, and will advise the minister, Josh Phillips of any changes to this information.

I agree

Please provide any other information that can help us to care for your child over the weekend

Child Day (3-5) 0

Attendee Details

First Name *

Last Name *

Email Address *

Mobile Number *

If you have selected a One Night ticket, please indicate which night.

Friday night

Saturday night

Do you have special Dietary Requirements? If Yes, please provide details:

Tip: CMS caters for a range of dietary needs but not for individual diets prescribed by dietitians or health professionals. CMS aims to be a nut free site but cannot guarantee that meals are free from traces of allergens. Guests are welcome to bring their own food if they have life threatening food allergies. If you have any questions, chat to Sophie.

Medical Needs: Please specify below if you have any medical needs the site / camp coordinators need to be aware of:

I need a ride to the Weekend Away

Yes

No

I can give someone a ride to the Weekend Away

Yes

No

Additional Comments

Are you an adult registering a child under 18? *

Yes. Go to Permissions

No. Click NEXT

Permissions

I, named below, give the following permissions for my child/ren registering for the WS Five Weekend Away in this form:

Tip: Parent/Guardian Name

Email Address

Phone number

My submission of this form indicates my willingness to permit my child/ren (listed below) to attend and participate fully in the the WS Five Weekend Away.

I agree

I authorise the leaders in charge of WS Five Weekend Away where it is impracticable to communicate with me, to arrange for my child to receive such medical treatment as the leaders may deem necessary while in the care of the leaders. I further authorise the use of an ambulance if in the leader's judgement is deemed necessary. I accept responsibility for all payments associated with such treatment.

I agree

I give permission for photographs to be taken of my child/ren for the purposes of Wild Street Church promotional material

Yes

No

I acknowledge that being part of a community involves mutual care and consideration, and therefore agree that unacceptable behaviour may result in my child being sent home.

I agree

I will provide the minister, Josh Phillips, with any information relevant to the wellbeing of my child prior to him or her attending the WS Five Weekend Away.

I agree

I confirm that the information given in this form is true and correct, and will advise the minister, Josh Phillips of any changes to this information.

I agree

Please provide any other information that can help us to care for your child over the weekend

Infant Day (0-2) 0

Attendee Details

First Name *

Last Name *

Email Address *

Mobile Number *

If you have selected a One Night ticket, please indicate which night.

Friday night

Saturday night

Do you have special Dietary Requirements? If Yes, please provide details:

Tip: CMS caters for a range of dietary needs but not for individual diets prescribed by dietitians or health professionals. CMS aims to be a nut free site but cannot guarantee that meals are free from traces of allergens. Guests are welcome to bring their own food if they have life threatening food allergies. If you have any questions, chat to Sophie.

Medical Needs: Please specify below if you have any medical needs the site / camp coordinators need to be aware of:

I need a ride to the Weekend Away

Yes

No

I can give someone a ride to the Weekend Away

Yes

No

Additional Comments

Are you an adult registering a child under 18? *

Yes. Go to Permissions

No. Click NEXT

Permissions

I, named below, give the following permissions for my child/ren registering for the WS Five Weekend Away in this form:

Tip: Parent/Guardian Name

Email Address

Phone number

My submission of this form indicates my willingness to permit my child/ren (listed below) to attend and participate fully in the the WS Five Weekend Away.

I agree

I authorise the leaders in charge of WS Five Weekend Away where it is impracticable to communicate with me, to arrange for my child to receive such medical treatment as the leaders may deem necessary while in the care of the leaders. I further authorise the use of an ambulance if in the leader's judgement is deemed necessary. I accept responsibility for all payments associated with such treatment.

I agree

I give permission for photographs to be taken of my child/ren for the purposes of Wild Street Church promotional material

Yes

No

I acknowledge that being part of a community involves mutual care and consideration, and therefore agree that unacceptable behaviour may result in my child being sent home.

I agree

I will provide the minister, Josh Phillips, with any information relevant to the wellbeing of my child prior to him or her attending the WS Five Weekend Away.

I agree

I confirm that the information given in this form is true and correct, and will advise the minister, Josh Phillips of any changes to this information.

I agree

Please provide any other information that can help us to care for your child over the weekend

Date & Time

Full Weekend Adult 0

Attendee Details

Permissions

One Night Adult 0

Attendee Details

Permissions

Saturday - Day 0

Attendee Details

Permissions

Sunday Day 0

Attendee Details

Permissions

Child Full Weekend (3-5) 0

Attendee Details

Permissions

Infant Full Weekend (0-2) 0

Attendee Details

Permissions

Child Day (3-5) 0

Attendee Details

Permissions

Infant Day (0-2) 0

Attendee Details

Permissions