24 hour Rock Solid Camp Registrations
****FOR PARENTS / CAREGIVERS to fill out **********
Fill in all blanks to register yourself for an AWESOME camp - '24 Hour' Camp

Make sure you click the "submit" button at the bottom of page to register. Please only register Once. If you a registering more than one person fill out a separate form for each person by clicking "Submit another response" on the confirmation window. After you have done the first registration. Payment details below.
Payment we prefer it done online through our "Rock Solid Youth Trust" ASB account 12-3093-0326942-00
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First Name *
Surname *
Date of Birth *
i.e. 25 April 2005
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/
DD
/
YYYY
Gender *
Address *
Street Number and Road
Suburb *
Suburb eaample KAMO
City *
City example WHANGAREI
Postcode *
Postcode eg 0112
Home Phone *
ie. 09  4386059   or  09-4386059  (please include area code leave a space between 09 and the ph number)
Work Phone
ie. 09  4386059   or  09-4386059  (please include area code leave a space between 09 and the ph number)
Mobile Phone *
Please put in this format ie. 021 782547    or  021-782547
Email Address *
IMPORTANT: Please double check you have entered email correctly as we will use this as main means of communication with you.
Ethnicity *
Ethnicity of children or Leader: Our funders require us to report back percentages of NZ Maori, Pacific Islanders, etc on our camp. We solely just present as a percentage so your child is never identified. Please select from list below or write in the other option.
RS Club
Select the Rock Solid Club you attend. Or if you don't attend Rock Solid which is your closest Rock Solid club area. This camp is mainly for Whangarei Rock Solid but some years some other young people from other Rock Solid clubs join us.
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Any Important Medical Info *
Is your child / teen currently on medication for anything. if YES please explain. Also include Any Special Medication/ Food allergies or requirements?  Write NONE if it does not apply
Asprin or Panadol *
is the camper able to have asprin or panadol administered for minor first aid?
Camper or Leader *
IMPORTANT: Please indicate whether you are Camper, Leader, Junior Leader or Leaders Child.  CAMPER = (10-14 yrs old (Students Year 6, 7 & 8),                 LEADER (18yrs up),          Junior Leader (15 - 17 yrs),      Leaders Child (under 9 yrs old)
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