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 wendy.leitch@aucklandanglican.org.nz
For any other questions please contact Jacolize Becker on jacolize.becker@aucklandanglican.org.nz
First name *
Your answer
Last name *
Your answer
Gender *
Required
Date of birth *
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School year *
I'm coming to camp as a *
Street address *
Your answer
Suburb *
Your answer
City *
Your answer
Home phone
Your answer
What church or youth group are you connected to? *
Do you have any allergies, medical conditions including asthma or medicine that you’re taking? *
Your answer
Do you have any dietary requirements relating to an allergy? *
Your answer
Anything else we need to know?
Your answer
Parent/Caregiver Name *
Leaders: Please provide an emergency contact person
Your answer
Parent/Caregiver Email Address *
Your answer
Parent/Caregiver Contact Number *
Your answer
Payment Amount *
Payment method *
Please do not post cash
Disclaimer *
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.
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