Junior Yearly Meeting – Nomination form

2024 QCA Junior Yearly Meeting - Nomination Form

Step 1 of 9

Part 2
The guidance for named contact people was included within the nominations guidance. This person acts as a link between ourselves and your nominees and their family. It is better if the NCP is not a family member. The intention is to provide additional support and encouragement in relation to returning necessary forms and reporting back after JYM. We will use the information below to contact the person. Please check the addresses and phone numbers before filling out the details.
NCP's name * REQUIRED
First Last
NCP's address
Street Address City Post code Country
NCP's phone number * REQUIRED
NCP's email (one that is checked regularly) * REQUIRED

Names nominated for guaranteed places
Please confirm that you have the correct contact details before filling out the details requested below. We use the information you provide to contact the family sending them an information and consent form to return within two weeks to confirm their place at JYM.
Please state the names below nominated for the guaranteed places (you have 3 places):
We confirm that payment for this guaranteed place has been agreed * REQUIRED
- Yes
We have spoken with young person and family about this nomination * REQUIRED
- Yes
- No
Guaranteed Place 1: Name * REQUIRED
First Last
Guaranteed Place 1: Address * REQUIRED
Street Address City Post code Country
Guaranteed Place 1: Date of birth * REQUIRED
(must be between 1 September 2005 and 31 August 2008)

Day
Month
Year
Guaranteed Place 1: Phone number * REQUIRED
Guaranteed Place 1: Young person's email address * REQUIRED
Guaranteed Place 1: Local Meeting * REQUIRED
Has the young person been to JYM before? * REQUIRED

Yes

No
Guaranteed Place 1: Parent/Guardian's name * REQUIRED
First Last
Guaranteed Place 1: Parent/Guardian's email * REQUIRED
Guaranteed Place 1: Additional Information
Would you like to add a second guaranteed place? * REQUIRED

Yes

No

We confirm that payment for this guaranteed place has been agreed * REQUIRED

Yes
We have spoken with young person and family about this nomination * REQUIRED

Yes

No
Guaranteed Place 2: Name * REQUIRED
First Last
Guaranteed Place 2: Address * REQUIRED
Street Address City Post code Country

Guaranteed Place 2: Date of birth * REQUIRED
(must be between 1 September 2005 and 31 August 2008)

Day
Month
Year

Guaranteed Place 2: Phone number * REQUIRED
Guaranteed Place 2: Young person's email address * REQUIRED

Guaranteed Place 2: Local Meeting * REQUIRED

Has the young person been to JYM before? * REQUIRED

Yes

No
Guaranteed Place 2: Parent/Guardian's name * REQUIRED
First Last
Guaranteed Place 2: Parent/Guardian's email * REQUIRED

Guaranteed Place 2: Additional Information
Would you like to add a third guaranteed place? * REQUIRED

Yes

No

We confirm that payment for this guaranteed place has been agreed * REQUIRED

Yes
We have spoken with young person and family about this nomination * REQUIRED

Yes

No
Guaranteed Place 3: Name * REQUIRED
First Last
Guaranteed Place 3: Address * REQUIRED
Street Address City Post code Country

Guaranteed Place 3: Date of birth * REQUIRED
(must be between 1 September 2005 and 31 August 2008)

Day
Month
Year

Guaranteed Place 3: Phone number * REQUIRED
Guaranteed Place 3: Young person's email address * REQUIRED

Guaranteed Place 3: Local Meeting * REQUIRED

Has the young person been to JYM before? * REQUIRED

Yes

No
Guaranteed Place 3: Parent/Guardian's name * REQUIRED
First Last
Guaranteed Place 3: Parent/Guardian's email * REQUIRED

Guaranteed Place 3: Additional Information
Would you like to add an additional place? * REQUIRED

Yes

No

Please confirm that you have the correct contact information before filling out the details requested below. We will use the information you provide to contact your additional nominees, to ask them to indicate if they are interested in a place and then when a place is available to send them an information and consent form to be returned within two weeks to confirm their place at JYM.
Please state below the details of those nominated for additional places, in priority order:
We confirm that payment for the additional places has been agreed * REQUIRED

Yes
We have spoken with young person and family about this nomination * REQUIRED

Yes

No
Priority 1: Name * REQUIRED
First Last
Priority 1: Address * REQUIRED
Street Address City Post code Country

Priority 1: Date of birth * REQUIRED
(must be between 1 September 2005 and 31 August 2008)

Day
Month
Year

Priority 1: Phone number * REQUIRED
Priority 1: Young person's email * REQUIRED

Priority 1: Local Meeting * REQUIRED

P1: Has the young person been to JYM before? * REQUIRED

Yes

No
Priority 1: Parent/Guardian's name * REQUIRED
First Last
Priority 1: Parent/Guardian's email * REQUIRED

Priority 1: Additional Information
Would you like to add a second additional place? * REQUIRED

Yes

No

We confirm that payment for the additional places has been agreed * REQUIRED

Yes
We have spoken with young person and family about this nomination * REQUIRED

Yes

No
Priority 2: Name * REQUIRED
First Last
Priority 2: Address * REQUIRED
Street Address City Post code Country

Priority 2: Date of birth * REQUIRED
(must be between 1 September 2005 and 31 August 2008)

Day
Month
Year

Priority 2: Phone number * REQUIRED
Priority 2: Young person's email * REQUIRED

Priority 2: Local Meeting * REQUIRED

P2: Has young person been to JYM before? * REQUIRED

Yes

No
Priority 2: Parent/Guardian's name * REQUIRED
First Last
Priority 2: Parent/Guardian's email * REQUIRED

Priority 2: Additional Information
Would you like to add a third additional place? * REQUIRED

Yes

No

We confirm that payment for the additional places has been agreed * REQUIRED

Yes
We have spoken with young person and family about this nomination * REQUIRED

Yes

No
Priority 3: Name * REQUIRED
First Last
Priority 3: Address * REQUIRED
Street Address City Post code Country

Priority 3: Date of birth * REQUIRED
(must be between 1 September 2005 and 31 August 2008)

Day
Month
Year

Priority 3: Phone number * REQUIRED
Priority 3: Young person's email * REQUIRED

Priority 3: Local Meeting * REQUIRED

P3: Has young person been to JYM before? * REQUIRED

Yes

No
Priority 3: Parent/Guardian's name * REQUIRED
First Last
Priority 3: Parent/Guardian's email * REQUIRED

Priority 3: Additional Information
If more additional places are wanted please send an email to bymevents@quaker.org.uk with the details requested in this form for each participant.

Please click the submit button to complete the nominations form for JYM.
Enquiries: By email at bymevents@quaker.org.uk
By telephone on 020 7663 1002

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Junior Yearly Meeting – Nomination form

2024 QCA Junior Yearly Meeting - Nomination Form

Step 1 of 9

Part 1

Part 2