Camp Registration Form

Camp Registration Form

The Apostolic Youth
Your Name:*

First NameLast Name
Date of Birth:*

MonthDayYear
Phone Number *
04XX XXX XXX
Email Address:*
Primary Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Other Information
Please provide any medical or dietary restrictions you have:
Emergency Contact Name:*

First NameLast Name
Phone Number *
04XX XXX XXX

Payment

Discount Code is: TAYC21
The full cost of camp is $180 per person, however the church is willing to subsidise this cost to $150.

If you would like to forgo this and pay for the full amount you are welcome to

If you would like to join us but are having financial difficulty, please contact Abouna Antonious on: 0423 000 090 OR message us privately on Instagram to discuss your options.

Can’t wait to see you all there! ☺️🎉

My Products

Camp!$180.00AUD

Please select this for a whole camp stay

Overnight Stay$95.00AUD

If you can only make it for one night pick me!! We’d love to see you for as long as you can.

Day Stay $75.00AUD

If you can only come up for the day this is for you we’d love to see you!

Enter coupon

Total $0.00AUD

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

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