ROCK UP, BE READY
- YOUTH RETREAT

Rock Up Youth Retreat, presented by GAP Entertainment, invites all young people aged 12-17 to an inspiring and fun-filled experience! Rooted in values that uplift and encourage, our retreat offers action-packed days of friendship and adventure for everyone, regardless of their background or beliefs. Come discover new connections and leave feeling empowered!

Young Person's Details

First name

Last name

Gender

Male

Female

Birthday

Month

Day

Year

Address

Parent/Guardian Details

First Name

Last Name

Relationship to young person

Phone

Address (if different to young person)

Name of secondary emergency contact

Phone

Participation Information

Is your young person a member of G.A.P Academy

Yes

If your young person part of any other sports or arts organisation please state which?

If your young person is a member of a church or any other religious organisation please state which?

Does your young person have any medical conditions or will require medication whilst on the retreat?

Does your young person have any general/food allergies?

Does the young person struggle with their mental health & well being?

Any additional information we should be aware of, or that you would like us to know about this young person?

What are your their aspirations?

What do you hope the young person will gain from being on this retreat?

Doing you consent to photos and videos taken of your young person during sessions?

yes

Deposit

£25

Places are only confirmed upon receipt of a deposit.

This deposit is non-refundable.

The remaining balance of £225 is payable in 3 monthly installments from June 10th-Aug 10th.

ROCK UP, BE READY - YOUTH RETREAT

Young Person's Details

Parent/Guardian Details

Participation Information

ROCK UP, BE READY
- YOUTH RETREAT