Northside Youth Eaton Camp 2019 Registration
Date: Saturday March 2 - Monday 4 March 2019

Location: Eaton Scout Camp - 51 Leake St, Eaton WA 6232

Camp Co-ordinator: Ashley Williams 0432 962 425 or aw17171717@gmail.com

<<Please message Ashley direct if you have any enquiries on registration or information.>>

Transport is not provided. Attendees will need to make their own way to and from event.

Things to bring:
- bible
- clothing for three days
- toiletries
- hats, enclosed shoes
- torch
- sunscreen, insect repellent
- pillow, sleeping bag or bedding
- towel, bathers

Optional things to bring:
- fishing rod and tackle

Activities include:
- Workshops
- Canoeing
- Bike riding
- Hiking
- etc

First name of attendee *
Your answer
Surname of attendee *
Your answer
Age of attendee *
Your answer
Gender of attendee *
Mobile number of attendee
Your answer
Is the attendee from a particular church?
Your answer
Emergency Contact Details #1 (Name/Phone number/Relationship) *
Your answer
Emergency Contact Details #2 (Name/Phone number/Relationship)
Your answer
Email address (will only be used to verify registration) *
Your answer
Swimming Ability *
Dietary restrictions (write NIL if not relevant) *
Your answer
Any medical issues or medication that we need to be made aware of? (write NIL if not relevant) *
Your answer
Have you paid the $75 camp cost via bank transfer? *
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Any other information you would like us to know about the attendee?
Your answer
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