BFEC Camp 2019 Sign-Up Form [TEMPLATE]
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BFEC Camp 2019 – Designed for Discipleship
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Date: Fri 7 June – Mon 10 June Venue: Hotel Jen Puteri Harbour, Johor Speaker: Benny Ho (English), 吴仲诚 (Chinese)
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Single: S$540 per person, Twin Sharing: $380 per person, Triple Sharing: $350 per person, Bus Transfer: $30 (one-way or two-way)
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Child (4 to 11y11m): $190, Infant up to 3y11m: FOC (Note: S$100 student subsidy is available for students from age 12 to 25)
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Each form is for one room. Note: Maximum of 3 adults / youth per room.
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* if you are signing up alone and would like assistance in finding a room mate, please indicate here: [ ] I am looking for a room mate
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IMPORTANT: Passport Expiry must be after 7 January 2020
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S/no
Name
(Please fill in BLOCK LETTERS)
Gender /
Marital Status
Date of Birth /
Student Subsidy?
Handphone /
Email Address
Passport Number /
Passport Expiry
Cell Grp
Leader
Is this your
first camp?
Do you need
bus transfer?
T-Shirt SizeCamp Fee
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1(Name in Passport)Male / Female(YYYY/MM/DD)HP:(Passport #)( yes / no )( yes / no )
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(Preferred Name on Name Tag)Single / MarriedStudent? Yes / NoEmail:(Expiry YYYY/MM/DD)
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2(Name in Passport)Male / Female(YYYY/MM/DD)HP:(Passport #)( yes / no )( yes / no )
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(Preferred Name on Name Tag)Single / MarriedStudent? Yes / NoEmail:(Expiry YYYY/MM/DD)
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3(Name in Passport)Male / Female(YYYY/MM/DD)HP:(Passport #)( yes / no )( yes / no )
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(Preferred Name on Name Tag)Single / MarriedStudent? Yes / NoEmail:(Expiry YYYY/MM/DD)
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CHILD/
INFANT
(Name in Passport)Male / Female(YYYY/MM/DD)HP:(Passport #)( yes / no )( yes / no )
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(Preferred Name on Name Tag)Single / MarriedStudent? Yes / NoEmail:(Expiry YYYY/MM/DD)
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CHILD/
INFANT
(Name in Passport)Male / Female(YYYY/MM/DD)HP:(Passport #)( yes / no )( yes / no )
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(Preferred Name on Name Tag)Single / MarriedStudent? Yes / NoEmail:(Expiry YYYY/MM/DD)
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# Camp Fee Financial Assistance: Our church is committed to help members genuinely in need to attend the camp by providing further subsidies. To help us evaluate, briefly indicate your reasons here why you would like to apply:
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For official Use
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Registration Number
Payment StatusDate Paid / Cheque NumberRoom AllocatedRemarks
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