Church Camp 2019

Adult Ticket 0

Church Camp 2019 - Registration Form

Booking Details:

Medical Details:

Last Name:

Medical Consent:

Yes

No

Tip: Do you give St. Mark's or its volunteers permission to administer First Aid or to phone a medical practitioner to administer treatment on your behalf?

First Name:

Medical Condition:

Tip: Are there any medical conditions that we need to be aware of?

Mobile Number:

Other Information required:

Email Address:

Dietary Requirements:

Tip: Do you have special Dietary Requirements:

Family Emergency Contact: (other than family present)

Media Consent:

Yes

No

Tip: Are you happy to be photographed by St Mark's? (photographs might be used for promotional material in future)

Sleeping Arrangements:

Family Cabin Required

Shared Cabin Required

Don't mind sharing or being alone

PLEASE NOTE THAT WE CURRENTLY DO NOT HAVE ONLINE PAYMENT OPTIONS AVAILABLE. PLEASE INDICATE YOUR CHOICE OF PAYMENT BELOW. PLEASE PRESS CASH BUTTON TO SECURE YOUR BOOKING (NO IMMEDIATE PAYMENT REQUIRED, BOOKING DEPOSIT OF $50 BY 22ND OF JULY TO SECURE)

Child 14-18 Ticket 0

Church Camp 2019 - Registration Form

Booking Details:

Medical Details:

Last Name:

Medical Consent:

Yes

No

Tip: Do you give St. Mark's or its volunteers permission to administer First Aid or to phone a medical practitioner to administer treatment on your behalf?

First Name:

Medical Condition:

Tip: Are there any medical conditions that we need to be aware of?

Mobile Number:

Other Information required:

Email Address:

Dietary Requirements:

Tip: Do you have special Dietary Requirements:

Family Emergency Contact: (other than family present)

Media Consent:

Yes

No

Tip: Are you happy to be photographed by St Mark's? (photographs might be used for promotional material in future)

Sleeping Arrangements:

Family Cabin Required

Shared Cabin Required

Don't mind sharing or being alone

PLEASE NOTE THAT WE CURRENTLY DO NOT HAVE ONLINE PAYMENT OPTIONS AVAILABLE. PLEASE INDICATE YOUR CHOICE OF PAYMENT BELOW. PLEASE PRESS CASH BUTTON TO SECURE YOUR BOOKING (NO IMMEDIATE PAYMENT REQUIRED, BOOKING DEPOSIT OF $50 BY 22ND OF JULY TO SECURE)

Child 9-13 Ticket 0

Church Camp 2019 - Registration Form

Booking Details:

Medical Details:

Last Name:

Medical Consent:

Yes

No

Tip: Do you give St. Mark's or its volunteers permission to administer First Aid or to phone a medical practitioner to administer treatment on your behalf?

First Name:

Medical Condition:

Tip: Are there any medical conditions that we need to be aware of?

Mobile Number:

Other Information required:

Email Address:

Dietary Requirements:

Tip: Do you have special Dietary Requirements:

Family Emergency Contact: (other than family present)

Media Consent:

Yes

No

Tip: Are you happy to be photographed by St Mark's? (photographs might be used for promotional material in future)

Sleeping Arrangements:

Family Cabin Required

Shared Cabin Required

Don't mind sharing or being alone

PLEASE NOTE THAT WE CURRENTLY DO NOT HAVE ONLINE PAYMENT OPTIONS AVAILABLE. PLEASE INDICATE YOUR CHOICE OF PAYMENT BELOW. PLEASE PRESS CASH BUTTON TO SECURE YOUR BOOKING (NO IMMEDIATE PAYMENT REQUIRED, BOOKING DEPOSIT OF $50 BY 22ND OF JULY TO SECURE)

Child 3-8 Ticket 0

Church Camp 2019 - Registration Form

Booking Details:

Medical Details:

Last Name:

Medical Consent:

Yes

No

Tip: Do you give St. Mark's or its volunteers permission to administer First Aid or to phone a medical practitioner to administer treatment on your behalf?

First Name:

Medical Condition:

Tip: Are there any medical conditions that we need to be aware of?

Mobile Number:

Other Information required:

Email Address:

Dietary Requirements:

Tip: Do you have special Dietary Requirements:

Family Emergency Contact: (other than family present)

Media Consent:

Yes

No

Tip: Are you happy to be photographed by St Mark's? (photographs might be used for promotional material in future)

Sleeping Arrangements:

Family Cabin Required

Shared Cabin Required

Don't mind sharing or being alone

PLEASE NOTE THAT WE CURRENTLY DO NOT HAVE ONLINE PAYMENT OPTIONS AVAILABLE. PLEASE INDICATE YOUR CHOICE OF PAYMENT BELOW. PLEASE PRESS CASH BUTTON TO SECURE YOUR BOOKING (NO IMMEDIATE PAYMENT REQUIRED, BOOKING DEPOSIT OF $50 BY 22ND OF JULY TO SECURE)

Child Under 3 Ticket 0

Church Camp 2019 - Registration Form

Booking Details:

Medical Details:

Last Name:

Medical Consent:

Yes

No

Tip: Do you give St. Mark's or its volunteers permission to administer First Aid or to phone a medical practitioner to administer treatment on your behalf?

First Name:

Medical Condition:

Tip: Are there any medical conditions that we need to be aware of?

Mobile Number:

Other Information required:

Email Address:

Dietary Requirements:

Tip: Do you have special Dietary Requirements:

Family Emergency Contact: (other than family present)

Media Consent:

Yes

No

Tip: Are you happy to be photographed by St Mark's? (photographs might be used for promotional material in future)

Sleeping Arrangements:

Family Cabin Required

Shared Cabin Required

Don't mind sharing or being alone

PLEASE NOTE THAT WE CURRENTLY DO NOT HAVE ONLINE PAYMENT OPTIONS AVAILABLE. PLEASE INDICATE YOUR CHOICE OF PAYMENT BELOW. PLEASE PRESS CASH BUTTON TO SECURE YOUR BOOKING (NO IMMEDIATE PAYMENT REQUIRED, BOOKING DEPOSIT OF $50 BY 22ND OF JULY TO SECURE)

3rd or more children free 0

Church Camp 2019 - Registration Form

Booking Details:

Medical Details:

Last Name:

Medical Consent:

Yes

No

Tip: Do you give St. Mark's or its volunteers permission to administer First Aid or to phone a medical practitioner to administer treatment on your behalf?

First Name:

Medical Condition:

Tip: Are there any medical conditions that we need to be aware of?

Mobile Number:

Other Information required:

Email Address:

Dietary Requirements:

Tip: Do you have special Dietary Requirements:

Family Emergency Contact: (other than family present)

Media Consent:

Yes

No

Tip: Are you happy to be photographed by St Mark's? (photographs might be used for promotional material in future)

Sleeping Arrangements:

Family Cabin Required

Shared Cabin Required

Don't mind sharing or being alone

PLEASE NOTE THAT WE CURRENTLY DO NOT HAVE ONLINE PAYMENT OPTIONS AVAILABLE. PLEASE INDICATE YOUR CHOICE OF PAYMENT BELOW. PLEASE PRESS CASH BUTTON TO SECURE YOUR BOOKING (NO IMMEDIATE PAYMENT REQUIRED, BOOKING DEPOSIT OF $50 BY 22ND OF JULY TO SECURE)

Day Visitor 0

Church Camp 2019 - Registration Form

Booking Details:

Medical Details:

Last Name:

Medical Consent:

Yes

No

Tip: Do you give St. Mark's or its volunteers permission to administer First Aid or to phone a medical practitioner to administer treatment on your behalf?

First Name:

Medical Condition:

Tip: Are there any medical conditions that we need to be aware of?

Mobile Number:

Other Information required:

Email Address:

Dietary Requirements:

Tip: Do you have special Dietary Requirements:

Family Emergency Contact: (other than family present)

Media Consent:

Yes

No

Tip: Are you happy to be photographed by St Mark's? (photographs might be used for promotional material in future)

Sleeping Arrangements:

Family Cabin Required

Shared Cabin Required

Don't mind sharing or being alone

PLEASE NOTE THAT WE CURRENTLY DO NOT HAVE ONLINE PAYMENT OPTIONS AVAILABLE. PLEASE INDICATE YOUR CHOICE OF PAYMENT BELOW. PLEASE PRESS CASH BUTTON TO SECURE YOUR BOOKING (NO IMMEDIATE PAYMENT REQUIRED, BOOKING DEPOSIT OF $50 BY 22ND OF JULY TO SECURE)

One Night Including 2 meals 0

Church Camp 2019 - Registration Form

Booking Details:

Medical Details:

Last Name:

Medical Consent:

Yes

No

Tip: Do you give St. Mark's or its volunteers permission to administer First Aid or to phone a medical practitioner to administer treatment on your behalf?

First Name:

Medical Condition:

Tip: Are there any medical conditions that we need to be aware of?

Mobile Number:

Other Information required:

Email Address:

Dietary Requirements:

Tip: Do you have special Dietary Requirements:

Family Emergency Contact: (other than family present)

Media Consent:

Yes

No

Tip: Are you happy to be photographed by St Mark's? (photographs might be used for promotional material in future)

Sleeping Arrangements:

Family Cabin Required

Shared Cabin Required

Don't mind sharing or being alone

PLEASE NOTE THAT WE CURRENTLY DO NOT HAVE ONLINE PAYMENT OPTIONS AVAILABLE. PLEASE INDICATE YOUR CHOICE OF PAYMENT BELOW. PLEASE PRESS CASH BUTTON TO SECURE YOUR BOOKING (NO IMMEDIATE PAYMENT REQUIRED, BOOKING DEPOSIT OF $50 BY 22ND OF JULY TO SECURE)

Date & Time

Adult Ticket 0

Church Camp 2019 - Registration Form

Booking Details:

Medical Details:

Other Information required:

Child 14-18 Ticket 0

Church Camp 2019 - Registration Form

Booking Details:

Medical Details:

Other Information required:

Child 9-13 Ticket 0

Church Camp 2019 - Registration Form

Booking Details:

Medical Details:

Other Information required:

Child 3-8 Ticket 0

Church Camp 2019 - Registration Form

Booking Details:

Medical Details:

Other Information required:

Child Under 3 Ticket 0

Church Camp 2019 - Registration Form

Booking Details:

Medical Details:

Other Information required:

3rd or more children free 0

Church Camp 2019 - Registration Form

Booking Details:

Medical Details:

Other Information required:

Day Visitor 0

Church Camp 2019 - Registration Form

Booking Details:

Medical Details:

Other Information required:

One Night Including 2 meals 0

Church Camp 2019 - Registration Form

Booking Details:

Medical Details:

Other Information required: