2020 SANTA GERTRUDIS NATIONAL JUNIOR CAMP REGISTRATION FORM
Registration Forms - to be completed by Parent or Guardian of Student.  (Please note, this form also includes Parents/Guardians meals and accommodation.  For parents/guardians with 2 or more students attending, please only complete Parent/Guardian meals/accommodation on the first Student's Registration Form completed).

Please provide your email address below and once we receive your registration, you will receive an automatic response confirming receipt.  If you do not receive a response, please contact the SGB(A)A office on (07) 3216 2708 or via email sg@santagertrudis.com.au
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Email *
STUDENT DETAILS
Please complete one form per Student
Student - First Name *
Student - Surname *
Address *
Suburb/Town *
Postcode *
Date of Birth (dd/mm/yyyy) *
MM
/
DD
/
YYYY
Age at 13 January 2021 *
Male or Female *
Contact Phone No. 1 *
Contact Phone No.
Email (for information relating to camp) *
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