test new Church Camp 2019 Family Name*Names & Ages*Please list names and ages of all campers in your family unit... e.g. John 38Contact phone*Email* Medicare Number*Medical InformationPlease list any medical conditions or allergies, and any medication or special care required.Dietary RestrictionsPlease indicate foods or beverages family members should not consume:Room Type*Select your accommodation type:Single camping $125Family camping $165Couple bunkroom $205Couple ensuite $255Family bunkroom $255Family ensuite $325Payment*Please indicate your intended method of payment: Direct payment: BSB 704922 A/C 100011493 Cheque to 'Green Point Baptist Church' Cash Credit Card payment at Info Desk Permission* I understand that photos may be taken of group activities in which my family is involved. I give permission for the church to use these for internal promotional purposes only. Signature*