Cornwall Hill Parent / Child Camp Registration
Event Address: Taaibos, Vaalwater

Banking Details:
Bank: FNB
Account Name: Purposeful Parent
Account Number: 62340516600
Centurion Branch
Reference: Eg. F&S Surname; M&D Surname

Email address *
Cornwall Hill Camp are you registering for *
Name *
Your answer
Surname *
Your answer
Cell Phone Number *
Your answer
1st Child's Name *
Your answer
1st Child's Surname
Your answer
1st Child's Grade (e.g) Gr 4F *
Your answer
1st Child's Classroom Number (if Available)
Your answer
2nd Child's Name (optional)
Your answer
2nd Child's Surname (optional)
Your answer
2nd Child's Grade (e.g) Gr 5C (optional)
Your answer
2nd Child's Classroom Number (if Available)
Your answer
Message (optional)
Your answer
I understand to pay R 700 per person for the Week End Camp (i.e. R1 400 for 2 Persons, or R2000 for 3 persons)
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service