CAMPERS Easter Camp Registration Form 2021
Please Note: This is the registration form for CAMPERS ONLY.
If you are coming to camp as a leader, please fill in this form here:
https://forms.gle/TiuibUri1KbMkaQSA
Please fill in one registration form per camper.
You must be year 13 or under to fill in this form - If you are no longer in school you will need to attend camp as a leader. Please chat with your Key Leader about this and then fill in the leaders registration form.
If you are under 18, you must have your parents/guardians permission to fill in this form. Please make sure they are with you as you enroll as there are some check boxes at the bottom they will need to agree to. Please make sure you've read and fit the registration requirements, and that the person this form is for has read the camp rules and agrees to abide by them during camp.
These can all be found on the Easter Camp website:
www.pcyouth.co.nz
Registration Requirements:
www.pcyouth.co.nz/register/
Camp Rules:
https://pcyouth.co.nz/rules/
* Required
General Information
First Name
*
Your answer
Last Name
*
Your answer
Phone Number
*
Your answer
Address
*
Your answer
Age
*
Your answer
Birthday
*
Your answer
Gender
*
Your answer
Your Email
Important information will be emailed out prior to camp. Please make sure the email you provide is one that is checked regularly. If you do not have an email address and will be using your parents or caregivers, then please leave this blank and pop in your parents email address in the box below this one.
Your answer
Your Parent/Guardian's Email
*
Important information will be emailed out prior to camp. Please make sure the email you provide is one that is checked regularly.
Your answer
Dietary needs/ medical conditions
Your answer
Church/Youth Group
*
St Johns in the City, Wellington
St Johns, Hastings
St Andrew's, Marton
St Andrews, Hastings
Tawa Union, Wellington
Merge, Wellington
Knox, Lower Hutt
Knox, Dannevirke
St Albans, Palmerston North
St Davids/Levin Uniting
Niue Youth, Wellington
St James, Whanganui
St Timothy's, Titahi Bay
Lifepoint Church
Napier North Ahuriri
Island Bay
Other:
Required
Emergency Contact Details
Name
*
Your answer
Phone
*
Your answer
Relationship to camper
*
ie, mother/father etc
Your answer
Permissions etc
If you are under 18, your parents/guardians must read these and check them off.
I give permission for any photos / video of me / my child to be used by Presbytery Central Youth Ministry Task Group for purposes in print, on the Presbytery Central Facebook page, and websites (Presbytery Central and Easter Camp).
*
Yes
No
I give permission for any photos / video of me / my child to be used by Presbytery Central Youth Ministry Task Group for purposes in print, on the Presbytery Central Facebook page, newsletter and websites (Presbytery Central and Easter Camp).
*
Please check only one option. If you are under 18, you must get your parent/caregiver to read and agree to this section.
Yes
No
I/my child have read the camp rules and agree to abide by them while attending Easter Camp 2021.
*
Rules can be found here:
https://pcyouth.co.nz/rules/
Yes
Required
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