Please cut off this end third and return the th The Pilgrim Parishes booking form by Friday 25 May to: your church youth leader or class teacher or 7 NEW for William Ridding, The Rectory, Church Hill, - 14 years olds Stalbridge, Sturminster Newton, DT10 2LR or

Sue Rawlinson, Magnolia Cottage, Blandford Road, Shillingstone, DT11 0SF. The Pilgrim Parishes are:

Please seal the form and correct money Belchalwell in an envelope. Child Okeford Fifehead Neville Hammoon Email responses can be sent to: Hazelbury Bryan with Stoke Wake [email protected] Hinton St Mary (Bring your £2 on the day.) Ibberton Lydlinch Manston Thank you! Mappowder Sue Rawlinson (01258 860066) Marnhull Okeford Fitzpaine — William Ridding (07828 475755) Purse Caundle Shillingstone Stalbridge Issues that the Columba leaders should be Stock aware of (health, behaviour or diet). th June Stourton Caundle Columba and YOU Sturminster Newton a Walkon together6 Woolland

Youth @ Columba leaders: Sue Rawlinson (01258 860066) William Ridding (07828 475755) www.pilgrims-in-the-vale.co.uk Booking Form for Place… Shillingstone Church Centre Youth @ Columba on Wednesday 6th June 2012 th Date… Wednesday 6 June 2012 Name(s) of Young Person(s) ______Time… 3pm—6pm Age ______

______Cost… £2 Age ______Age ______

Address ______

______Paint a life - Telephone number ______size cross Create a 3D clay Celtic cross Enjoy a barbecue! if we need to contact you during the event.

Please ask your parent/guardian to sign below.

Design a pilgrim badge Parent’s /Guardian’s Name ______Make a coracle (model) Signature ______

A walk down to the River Stour On the reverse of this form, please tell us of any health or behavioural conditions about which we should be aware.

NB If your child has dietary needs, please let us know. Fee enclosed: £ ______(£2 per person) Please return booking form by 25th May