Date & Time
23 April, 2025 3:00 PM - 26 April, 2025 3:00 PM
39 out of 50 remaining tickets available
Type
Price
Quantity
Camper Rego
Price
NZ$100.00
Quantity
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Camper Rego
0
180 Youth Camp Registration
First Name
*
Last Name
*
Gender
*
Male
Female
Phone Number
*
Email Address
*
Next of Kin
In the event of an emergency who do we contact?
Full Name
*
Relationship to you?
*
Mobile Number
*
Health
Do you have any health, dietary or other issues we should be aware of?
*
Yes
No
Please elaborate if you have answered 'Yes'.
*
Conditions of Registration
Do you have parental permission to attend camp?
*
Yes
No
I understand that camp organisers have a duty to ensure that all campers are safe. I understand that I am responsible for my conduct and behaviour.
*
Yes
I agree to act safely and follow instructions
*
Yes
Camp Wainui is an alcohol and drug free zone. I agree not to bring any form of cigarettes, vapes, alcohol or illegal drugs to camp.
*
Yes
The information I have supplied in this form is true and correct.
*
Yes
