Easter Camp 2025 Registration Form

General Enrolment Information
Camper's Name*

First NameLast Name
Gender*

MaleFemale
Camper's Email*
This is where your invoice will be sent unless specified otherwise
Parent/Guardian's Email*
Birth Date*

DayMonthYear
Contact Information
Camper's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contacts
Emergency Contact's Name*

First NameLast Name
Relationship to Camper*
Emergency Contact Primary Phone Number*
Emergency Contact Secondary Phone Number (if applicable)

Swimming Ability

Some of our camps may include swimming and/or water based activities. It is important our staff know the level of swimming ability to safely plan these activities.
What is the camper's swimming ability?*

Unable (unable to swim at all)Beginner (basic strokes, could swim to the end of an indoor swimming pool)Good (confident swimmer, could swim at least 10 meters in an indoor swimming pool)Excellent (can confidently swim 50 meters with clothing on)Unknown
Transport
How will the camper be arriving at camp?

Private transportBus Company (Camper needs CYC to pick up/drop off in Waihola)
Name of Bus Company
Location of Pick Up
Arrival Time

MonthDayYear
Date
Hour MinutesAM/PM Option
Name of Bus Company
Location of Drop Off
Departure Time

MonthDayYear
Date
Hour MinutesAM/PM Option
ONLY under 18s: People Authorised to Collect Camper
It is important we know who is and is NOT allowed to collect your child at the end of camp. This person will need to sign your child out.

Payment Terms for Camp Fees
- Early Bird Fee: $170.00 - Register before March 20th
- Regular Fee: $180.00
- Payment in full before camp starts. Internet banking is preferred.
- Account No: 02-0929-0233049-000
- If finiancial support is required, please contact the committee at eastercampwaihola@gmail.com
How did you hear about Easter Camp?