Camp X 2020

Name*
First Last
School Year*
Parent/Carer Name*
First Last
Parent phone*
Email*
Phone of camper
Friends (for rooming)
EARLY BIRD SHIRT size
Shirts are available as part of our EARLY BIRD registration deal. REGISTRATION FOR EARLY BIRD ENDS ON 3 NOVEMBER 2020
Medicare No.*
Date of Birth*
Date Format: DD slash MM slash YYYY
Medical information
Please list any medical conditions or allergies, and any medication or special care they require.
Dietary restrictions
Please indicate foods or beverages your child should not consume:
CAMP COST $185 - HOW DO YOU WISH TO MAKE PAYMENT?*
Payment can be made in person at the church office WED-FRI 9am-3pm (cash, cheque or tap EFTPOS) OR by Direct Deposit to: 'Green Point Baptist Church' BSB 704922 ACC 100003870 PLEASE INCLUDE CHILD'S NAME IN DESCRIPTION REFERENCE
Permission*
- I give permission for my child to attend Green Point Baptist Church’s “Camp X” at CRU Lake Mac (40 Yarrawonga Park Road, Balcolyn) from November 27 - 29. I understand that all care will be taken for the safety of my child, and will not hold any leader, paid or voluntary, or GPBC, responsible for any accident or injury. I authorise leaders to seek any medical attention if necessary for my child. I also permit photos to be taken of my child for promotional reasons only.
Transport to/from CRU Lake Mac*
- I am aware that I need to arrange my own transport to and from 'CRU Lake Mac' and will contact Youth Leaders before 20 November if I need assistance.
Signature

Welcome to Green Point Baptist Church