Online application

As a charitable organisation THE BREWSTER TRUST targets to support and benefit children and youth in need, and to give those with fewer opportunities priority without any discrimination. To take part in the Football Holiday Camp 2017 it is mandatory to fully complete the following application and to submit it within the deadline.

Applications will be completely confidential, will be processed on a first come, first served basis and will be reviewed according to the criteria outlined by our charity. Every applicant will receive a relevant response and/or a confirmation in due time.

The following questionnaire is based on current international standards for disadvantaged children or youth. Please tick the relevant box(es) and give a brief explanation of your selection(s). In case we need further information we will contact you directly.

*** Application Update ***

Tuesday, 6th June 2017, 11:00am Barbados time:

Thank you for this overwhelming feedback with your applications, we are looking forward to our Holiday Camp 2017. Please find following an update with regards to the individual groups and ages:

Group A: Monday, 10th July 2017 to Friday, 21st July 2017: application closed, no spaces available anymore

Group B: Monday, 24th July 2017 to Friday, 4th August 2017: application closed, no spaces available anymore

Group 15+: Monday, 17th July 2017 to Friday, 28th July 2017, born:

  • 2002 & before: application still open

A) APPLICATION PROCESS

disadvantaged child or youth (required)
noyes, please specify where relevant

economically disadvantaged

out-of-school youth / unemployed

in or aging out of foster care

limited language proficiency

homeless / run away from home

at-risk to leave school without graduation

former juvenile offenders / risk of delinquency

individual with disabilities

other

B) SELECT YOUR AGE GROUP

only available: Age group 15+, born 2002 or before, youngsters / adults / parents

Coaches, have the opportunity to register for the camp as assistants, assigned to individual ages and individual weeks; select your camp week(s)
10th July – 14th July17th July – 21st July24th July – 28th July31st July – 4th August

C) PARTICIPANT INFORMATION (CAMPERS AND COACHES TO COMPLETE THIS SECTION)

Your last name (required)

Your first name (required)

Gender (required)
malefemale

Date of birth (required)


Email address (required)

Home phone number (required)

Mobile phone number (required)

Nationality (required)

Street Address (required)

City or Village (required)

Parish (required)

Member of a football club (required)
yesno

Clothing size children

Clothing size adults

D) GUARDIAN/EMERGENCY CONTACT INFORMATION

Last name (required)

First name (required)

Relationship (required)

Email address (required)

Emergency phone number (s) during camp times (required)

E) PARTICIPANT MEDICAL INFORMATION

Medical condition (required)
NoneDiabeticHypertensiveOther, please specify:

Allergies (required)
NoneNutsPineappleMilkOther, please specify:

Disability (required)
NoneAutismDyslexiaPhysically impairedHearing impairedVisually impairedOther, please specify:

Nutritional preference (required)
NoneVegetarianVeganOther, please specify:

Medications, please list

Additional comments

F) PARENTAL CONSENT (FOR PARTICIPANTS 17 YEARS OLD AND YOUNGER)

I grant permission for my child / ward to participate in THE BREWSTER TRUST’s Football Holiday Camp 2017. I confirm that my child / ward is healthy and capable of participating in the camp and that any injury occurring during the camp is not covered by THE BREWSTER TRUST; please note: a specific accident insurance is in place for every participant. I recognise that THE BREWSTER TRUST is not responsible for accidents and/or losses of personal belongings occurring during the camp. I agree that any photographs or videos obtained from the camp are licensed for marketing and other purposes by THE BREWSTER TRUST.
yesno, please specify: