Church camp registration form

Grace City Church Camp 2012   Venue:  The Tops Conference Centre, Bendena Garden Road, Stanwell Tops, NSW   Date & Time:  Arrive 6pm, Friday 9th March 2012                            Depart 3pm, Sunday 11th March 2012   Accommodation: Each room is fully ensuited and sleeps up to 6 people. Children under the age of 13 are to be accommodated with their parents. Teenagers can either be accommodated in their parent's room or you may request for them to be placed in a Dorm Room with other 'same sex' teenagers. (Note: Dorm rooms are not ensuited and this will be based on the availability of rooms) Single adults may request their own room below. We will endeavour to fulfil this request but there may be a need to share if there are not enough rooms available. A 50% surcharge applies for this. Costs The prices are as follows:     Up to 4th December 2011 Up to 5th February 2012 Up to 26th February 2012 Adults (school yr 7 & over) $114 $134 $154 Children (K - yr 6) $94 $110 $127 PreSchool (3 - 5 years old) $31 $36 $41 Infants (under 3 years old) $0 $0 $0   A 50% surcharge applies for singles who want their own room.   Closing date for registrations is Sunday 26th February 2012 Please enter your details below and then click on Send.

Surname:

First Name (s):

Address:

Postcode:

Phone:
I am a Single Adult and would like my own room (if available)	No Yes

Children:		Age:		Dorm Room?	No Yes
		Age:		Dorm Room?	No Yes
		Age:		Dorm Room?	No Yes
		Age:		Dorm Room?	No Yes

I would like to sponsor

in the amount of $

Dietary Requirements:

Please state what dietary requirements you (or a member of your family) have:

[Enter your dietary requ here]

Activities:

There are many activities at the Tops Conference Centre including a pool, tennis court, sand volleyball, basketball, table tennis and off-site activities such as surfing and bush walks. We are also offering the following adrenaline activities:

Please enter the names of those that wish to take part in the activity.

Please note the following:
• These activities cost $15 per person per activity

• You may choose 1 of the following activities

• There are limited places which will be filled on a ‘first come first served’ basis
• There are also minimum numbers that if not met means the activity will be cancelled
• All participants will need to complete an ‘Acknowledgement of Risk’ form

The following 2 activities can be participated in from the age of 6 and up however children aged 6 to 9 will need a parent to assist them:

Giant Swing	No Yes
Abseiling	Yes No

 
Deposit:

• A 50% deposit is required with registration (the balance is due at camp).

I will be paying the deposit by:

Direct into Bank Cash - Handed in Cheque in Camp Form Box

The amount paid for the deposit will be:

$