Residential Conference 2024 booking form (single & non-residential enabled) "*" indicates required fields Please complete each section of the form. If you are booking for more than one person, complete and submit the form for the first delegate then click the link in the confirmation page to make another booking. To enable us to email delegates individually, please provide a unique email address for each delegate, if at all possible. 1. Delegate Details Please enter the details of the person for whom you are booking.TitlePlease selectMrMrsMissMsRevDr Name*This is how your name will appear on your conference badge. Please use upper and lower case - eg John Smith First name Last name Delegate's Email address*We will email each delegate with further information before the conference. Enter Email Confirm Email Phone*A mobile number is preferable so that we could contact you during the conference, if necessary. Town / City*To help us with networking at the conference, please tell us where you live. Region*Please selectScotlandNorthern IrelandWalesNorth WestNorth EastYorkshire and The HumberWest MidlandsEast MidlandsEast of EnglandLondonSouth EastSouth WestOutside the UKCountryIf your region is Outside the UK, please tell us what country you live in.Please selectAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsAgePlease selectUnder 3030-4950-65Over 65Gender*Please selectMaleFemaleName of Church/Organisation RolePlease select the role that best describes youPlease selectPastor / Church leaderPastoral worker (paid or unpaid)Lay leader (eg elder, church council member, small group / youth leader)Informal pastoral care in a church settingPara-church ministryFormal Christian counselling roleSecular counselling / mental health / related fieldDoctor / nurse / social work / related fieldOtherOther role - please give details Is this the first time you have attended one of our residential conferences?*Please selectYES - this is my first residential conferenceNO - I have attended a previous residential conference How did you hear about the conference?Please tick all that apply: Email from Biblical Counselling UK Biblical Counselling UK website Personal recommendation / invitation Evangelicals Now advert The Hub (Good Book Company) advert X / Twitter @_bcuk Facebook /biblicalcounsellinguk Instagram / Threads @biblicalcounsellinguk What training in counselling have you received, if any?Please tick any that apply: Biblical Counselling UK Certificate Course (any modules) Dynamics of Biblical Change for Leaders CCEF course(s) via Distance Education Training in secular counselling / mental health Training in Christian counselling 2. Privacy How we use your personal data. We will collect personal information when you book for our conferences. We collect this information using an online form on our website which is protected by SSL encryption. All debit or credit card details which we receive via our website are passed securely to our payment processing partner which has been audited by a PCI-certified auditor and is certified to PCI Service Provider Level 1. We process the personal information you provide on the legal basis of contract. The information you provide is used to administer your booking. We will share any dietary or other requirements you provide with the conference centre for the purpose of enabling them to meet your needs. We will collect the name and email address of each delegate in order to email information about the conference. We will obtain the consent of each delegate to take photographs at the event which may be used (anonymously) in publicity and/or news to supporters. We will contact those who book for a conference with details of future conferences on the basis of the “soft opt in”. This means that we will give bookers and delegates a simple way to opt out of future communications about conferences. We will do this when we collect your details and on every communication we send. Consent for Photography/Video*We may take photographs and/or video of the conference for use in publicity and information for our supporters. We would appreciate your consent for us to use your image (anonymously). You can give your consent below. If you do NOT give your consent for your image to be used, we will take your photo when you arrive at the conference to enable us to exclude you from any future publicity. Without a photo of you to refer to, we cannot guarantee that your image will not appear in publicity. I consent to my image being used I do NOT consent to my image being used Keeping in touch If you wish to opt out of receiving information about future conferences, please tick the box below.I do NOT wish to receive updates about future conferences I do NOT wish to receive updates about future conferences Join our mailing list If you would like to receive news and information about resources, conferences, training and other activities of Biblical Counselling UK, please join our mailing list (opens in a new browser). 3. Booking Conference Please select Conference only or Conference plus Workshop and then choose the accommodation type you require. MealsThe residential price includes all meals during the conference, starting with lunch on Monday and finishing with lunch on the final day. Conference Please choose the accommodation type you require. MealsThe residential price includes all meals during the conference, starting with lunch on Monday and finishing with lunch on the final day. Hidden1singleroom 2confonly 3confandworkshop 4nosinglerooms I wish to book for* Conference only Conference plus Workshop Bookings for the Workshop have now closed. Tick below if you would like to be added to a waiting list for workshop attendance Yes please add me to the Workshop waiting list Conference only (Mon-Wed)*Note: single rooms are no longer available. If you are interested in booking only with a single room, please email events@bcuk.org to join a waiting list. Please note rates are per delegate not per room.Please selectConference: Twin Room - Deposit(£75)Conference: Twin Room - Full payment (£285)Conference: Double Room - Deposit(£75)Conference: Double Room - Full payment (£285)Conference only (Mon-Wed)*Please selectConference: Single Room - Deposit(£75)Conference: Single Room - Full payment (£315)Conference: Twin Room - Deposit(£75)Conference: Twin Room - Full payment (£285)Conference: Double Room - Deposit(£75)Conference: Double Room - Full payment (£285)Conference: Non-residential - Deposit (£75)Conference: Non-residential Full payment (£230)Conference: Non-residential + breakfast - Deposit (£75)Conference: Non-residential + breakfast - Full payment (£256)Conference plus Workshop (Mon-Thurs)*Please selectConference plus Workshop: Single Room - Deposit (£75)Conference plus Workshop: Single Room - Full payment (£455)Conference plus Workshop: Twin Room - Deposit (£75)Conference plus Workshop: Twin Room - Full payment (£405)Conference plus Workshop: Double Room - Deposit (£75)Conference plus Workshop: Double Room - Full payment (£405)Conference plus Workshop: Non-residential - Deposit (£75)Conference plus Workshop: Non-residential Full payment (£345)Conference plus Workshop: Non-residential + breakfast - Deposit (£75)Conference plus Workshop: Non-residential + breakfast - Full payment (£384) I am sharing a room with:*Please state the name and surname of the person you have arranged to share with. Please note that if your room-sharer fails to book for the conference or cancels their booking, we will contact you to discusss arrangements for sharing with another delegate. Any access requirements? Any dietary requirements?Please tick any that apply Vegetarian Gluten free Vegan No nuts Low fat Low sugar Dairy-free Other Other - please give details 4. Payment Payment You can pay using a debit or credit card. If you are paying the non-returnable deposit of £75, we will take the balance of payment on Monday 5th February 2024 from the same card, unless you instruct us otherwise. Cancellation PolicyCancellations received on or after Monday 5th February 2024 will be charged the full fee. Before this date we are able to offer a full refund, less the £75 deposit.How to pay Enter the email address of the payment cardholder, then click the Pay Now button to process your booking. You will taken to an external payment site to enter your card details. If your payment is successful, after a few seconds you will be returned to our website and you will see a "Thank you" confirmation page. Do not click anything until the "Thank you" page has loaded.Cardholder Email Address* Enter Email Confirm Email Total