National Intermediates' Camp, Lake Taupo 2022

National Intermediates' Camp

Lake Taupo, 27-29 October 2023
Dear saints,

Please use this form to register for the October 2023 National Intermediates Camp at Lake Taupo.

Please submit one form per person (each person you are registering needs a separate form submission).

Registration is due on or before Wednesday 19 October.

Thank you saints
Personal Details
Name of person attending camp*

First NameLast Name
Contact email*

Confirmation Email
Locality*
Gender*

Brother / BoySister / Girl
Age Category*

Intermediate - Year 7Intermediate - Year 8ParentServing OneYounger Sibling - Primary School AgeYounger Sibling - 3-4 years oldYounger Sibling - 0-2 years oldOther
Camp Attendance*

Full-time - staying both nightsPart-time - day visit(s) ($10 per day)
Accommodation Option*

Intermediates - Bunkrooms $100Parents or Serving Ones - Bunkrooms with the Intermediates - $100Parents or Serving Ones - Lodge with either own room or shared with 1-2 other people $120Primary aged children - Lodges with their parents $1203-4 year old children - Lodges with their parents $800-2 year old children - Lodges with their parents - No charge
Please give names of other family members who will attend camp so we know to accommodate you together (for example, spouse name, younger children's name etc.)
Which days will you be attending?*

Day Visit - Saturday OnlyDay Visit - Lord's Day OnlyDay Visit - Saturday and Lord's Day
Which meals will you have? (Please select all that apply)*

Saturday Breakfast ($12)Saturday Lunch ($14)Saturday Dinner ($16)Lord's Day Breakfast ($12)Lord's Day Lunch ($14)No Meals Required - $10 day visit charge applies
Do you have any dietary requirements or food allergies?*

Yes - extra $20 per personNo
Please write your dietary requirements and food allergies here*
Medical Form and Emergency Contact Information
Every Intermediate attending the camp must have a medical form completed by their parent or legal guardian.

If you are an Intermediate filling out this form to register yourself for the camp, or you are filling out this form to register an Intermediate for whom you are not the parent or legal guardian, please select "no" and a medical form will be emailed to you to have completed by the appropriate person.

If you are the parent or legal guardian who is registering your own Intermediate, please select "yes" and you will be redirected to fill in the medical form online at the end of this registration.
Are you ready to fill out the medical information?*

YesNo
Final Comments
Any comments you would like to provide us?
Such as physical limitations, part time attendance etc.
Payment Details
Please choice one of the following two ways to make payment for the camp. Payment for the camp must be as soon as possible to secure your spot at the camp.
Payment Method*

Pay Later - Details will be emailed to you to make a bank transfer for the below amount.Pay Now - Credit Card (2.9% credit card surcharge added)
Accommodation Calculation
Day Visit Calculation
Dietary Calculation
Sub Total Calculation
Payment Calculation
Grand Total Calculation

Camp Fee:

Accommodation Charge	${accommodationCalculation}
Day Visit Charges - Meals or Day Visit	${dayVisit}
Dietary Requirements	${dietaryCalculation}
Payment Method	${paymentCalculation}
Total Camp Fee	${grandTotal}

Paying Later
To guarantee a place at the camp, payment via bank transfer should be made as soon as possible.
Credit Card Payments
We do not receive nor store your credit card details. Payment is made using the Stripe network which is a well respected and secure payment platform.

Should be Empty:

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

National Intermediates' Camp

Personal Details

Medical Form and Emergency Contact Information

Final Comments

Payment Details