Eucharistic Crusade Girls’ Camp 2025

Campsite based at The Moyallon Centre, 117 Stramore Rd, Portadown, Craigavon BT63 5JZ, Co. Armagh.

Starts Sunday 10th August in Saint John the Evangelist, Dun Laoghaire after the 11am Mass.
Ends Friday 15th August 2025 at the Newry Mass Rock (For Google Maps, use postcode: BT34 2LY carpark, BT34 2NA shrine).

Names of both Parents

Address line 1

Address line 2

City/Town

County

Eircode/Postal Code

Country

Parent's mobile

Parent's email

Confirm email

Home telephone

Where do you attend mass?

How many girls are you registering for camp?

Child's name

First

Last

Child's date of birth

Is this his first camp?

Yes

Has he made his First Holy Communion?

Yes

Current allergies, dietary restrictions, other pertinent conditions that may affect camp activities

Please note allergy severity and triggers and timeframe of last attack. Does your child carry an EpiPen? Mark "None" or "N/A" in each box if your child has no allergies, dietary restrictions, etcetera.

Medical History: Please state any surgical operations or serious medical conditions which occurred in the past

Name of the 2nd child

First

Last

2nd Child's date of birth

Is this his first camp?

Yes

Has he made his First Holy Communion?

Yes

Current allergies, dietary restrictions, other pertinent conditions that may affect camp activities

Medical History: Please state any surgical operations or serious medical conditions which occurred in the past

Name of the 3rd child

First

Last

3rd Child's date of birth

Is this his first camp?

Yes

Has he made his First Holy Communion?

Yes

Current allergies, dietary restrictions, other pertinent conditions that may affect camp activities

Medical History: Please state any surgical operations or serious medical conditions which occurred in the past

Name of the 4th child

First

Last

4th Child's date of birth

Is this his first camp?

Yes

Has he made his First Holy Communion?

Yes

Current allergies, dietary restrictions, other pertinent conditions that may affect camp activities

Medical History: Please state any surgical operations or serious medical conditions which occurred in the past

Name of the 5th child

First

Last

5th Child's date of birth

Is this his first camp?

Yes

Has he made his First Holy Communion?

Yes

Current allergies, dietary restrictions, other pertinent conditions that may affect camp activities

Medical History: Please state any surgical operations or serious medical conditions which occurred in the past

Emergency contact name (i.e. not the parents)

Emergency contact number

Emergency contact relationship with child

I confirm that I have read the camp Kit List

I confirm that I have provided the most up to date and accurate information in this application form and that I have read and understood the camp Kit List. If I have any other questions that are not answered here or am uncomfortable with any of the arrangements, I will contact the Camp Organiser for more information

Yes

I confirm that I will inform the Camp Organiser of any changes to my child's(/children's) medical condition or medication, or any new injuries obtained prior to the camp to assist the Staff Team in being able to manage these appropriately

Yes

In the event where a member of Camp Staff deems it necessary, I give consent for First Aid to be administered to my child(/children) by a qualified camp first aider

Yes

In the event of a medical/dental emergency I understand that every effort will be made by Camp Staff to contact me as soon as possible. However, in the event that I cannot be reached I agree to my child(/children) receiving medical/dental treatment including anaesthetic, blood transfusion or other, as considered necessary by the medical practitioner present

Yes

SSPX Summer Camp IRL is hereby instructed to adhere to the directions pertaining to the administration of medicines to my child(/children), as indicated on the application form

Yes

SSPX Summer Camp IRL may obtain, process and hold personal information about my child(/children), including sensitive information such as medical details. I consent to this for the purposes of assessment and in order to safeguard and promote the welfare of my child(/children)

Yes

I give permission for SSPX Summer Camp IRL to take photos of my child(/children) and to possibly use my child’s(/children's) photograph publicly in order to promote the camp's activities in printed publications, online publications, presentations, websites. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use

Yes

I agree that my child(/children) does not come on the camp with a mobile phone or any electronic device

Yes

Payment

Card

Bank transfer

Cash

Additional information

Please use this box to enter any further information you feel needs including. For example further details on health, dietary requirements, any additional needs etcetera or anything in relation to the acknowledgement terms above

Signature

Sign above