Kids Camp Registration form


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	Holiday Programmes » Kids Camp Registration form Kids Camp Registration form Kids camp is all about creating great memories. Every day we have chapel time and cabin devotion. Other activities may include horse riding, hot pools, mud run, waterside, kayaking, abseiling, archery and the Swoop. So what’s it going to cost? Camp fees $185 Canteen $10 Total $195 Please note: a nonrefundable $50.00 deposit is required with your registration to secure your place at camp. You can pay by cash cheque or deposit online. Sign-in starts at 4.00 PM on Sunday Sign-out is 10:00AM on Friday Please note: there is no supervision before registration or after pick up. What to bring: packet of biscuits or baking, sleeping bag/blankets, pillows, towels, toiletries, Bible (if you have one), warm old clothes, raincoat, togs, drink bottle, day bag strong covered footwear, a book to read What not to bring: Cell phones are not allowed at camp.Also, please do not bring knives or any other weapons, matches, cigarettes, alcohol, drugs, pets, electronic games, iPods, MP3 players, chewing gum. These will be taken off campers and returned to parents at the end of camp. Name* Gender* Male Female Date of Birth* Address* City/Town* Post Code* Parent or Guardian Name* Home Phone Work Phone Mobile Email Emergency Contact* Emergency Contact Phone* I would like to be in a cabin with We try to put you with at least one of your friends, but ask that you be no more than one year apart in age Does your child receive support from any of the following agencies? CYF OHF Te Aranui Other Where applicable, please indicate if we need to invoice the camp fees through to the above agency by filling in the details below If Other please let us know which agency Office/Branch Contact Person Contact Details Does your child receive any of the following kinds of special education resources? Teacher Aid Support Behavioural Support Other Is there anyone who is not legally allowed access to your child? Who will be picking your child up from camp?* (If this changes, you must notify us before camp ends as your child will not be permitted to leave camp with any one other than the person designated.) Do they have any health conditions that may affect them while at camp?* Please tick here if we have permission to give your child Paracetamol, Panadol, Ibuprofen? * Please tick here if you consent to your child being sent follow up information and studies from Lakes Ranch. * Nominated Person * (Signature will be required by Parent/Caregiver/Nominated Person over 18 years at registration)

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Kids Camp Registration form

Where applicable, please indicate if we need to invoice the camp fees through to the above agency by filling in the details below