2019 Junior Youth Camp - Long Bay
Junior Youth Camp is for those in year 6-9 at school. Its being held at Sir Peter Blake Marine Education and Recreation Centre (MERC) Long Bay from Sunday 6 to Tuesday 8 October 2019.
Please fill out this form and submit it, then we'll contact you via email within two working days to confirm your registration.
If you have any questions about registrations please contact Wendy on 302 7212 or
For any other questions please contact Jacolize Becker on
Date of birth
I'm coming to camp as a
What church or youth group are you connected to?
Birkdale/Beach Haven, Cedar Centre
Blockhouse Bay, Church of the Saviour
Campbell's Bay, St Johns
Clendon, St Elizabeths
Devonport, Holy Trinity
Epsom, St Georges
Hillsborough, St Margarets
Henderson, St Michael's
Howick, All Saints
Lynfield, Lynfield Community Church
Manurewa, St Lukes
Meadowbank, St Chads
Northwest, Church of the Good Shepherd
One Tree Hill, St Oswalds
Onehunga, St Peters
Parnell, Holy Trinity Cathedral
Pakuranga, St Peters
Ponsonby, All Saints
Remuera, St Aidans
Royal Oak, St Johns
St Heliers, St Philips
Symonds Street, St Pauls
Takapuna, St Peters
Whangaparaoa, St Stephens
Torbay, St Marys
Do you have any allergies, medical conditions including asthma or medicine that you’re taking?
Do you have any dietary requirements relating to an allergy?
Anything else we need to know?
Leaders: Please provide an emergency contact person
Parent/Caregiver Email Address
Parent/Caregiver Contact Number
$100 (Camper & Leader Fee)
Please do not post cash
Internet Banking (Diocese of Auckland 01-0236-0001122-00, Please enter the following with your payment: Particulars: Your Name, Code: 1430 F05 C001)
Cheque (Please make cheques out to ‘Diocese of Auckland’, write your name on the back of the cheque and send to Anglican Youth Ministries, PO Box 37242, Parnell 1151)
I will give my payment to my church leader
Please invoice my church
By submitting this registration form, you agree that 1. you will obey all the event rules (including no drugs, alcohol or x-rated material) and to participate in the organised programme; 2. you understand that while the Junior Youth Camp Leadership will take all reasonable care, the leadership will take no responsibility for accidents, loss, injury or damage to person or property; 3. you agree that in an emergency any necessary decisions regarding participant’s welfare can be made by those in charge if a parent or guardian is unable to be contacted; and 4. that you are willing for photos and video footage that may contain participants’ image to be used in future publicity.
I agree to the Junior Youth Camp Terms & Conditions as listed above and I am 18 years or older, or have parental consent to attend (details supplied above).
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