Leith Family Camp Registration Form

Family Camp Registration Form 26

Please fill in the form below
COSTS per person (Children under 5 pay only for food)
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Adults and children over 5 years old for the full two days and nights at camp$70.00NZD
All campers over 5 years old

Quantity

Adults and children over 5 one one day and night only$35.00NZD
Campers over 5 years old for a single day only

Quantity

Children under 5 per day$15.00NZD
Children under 5

Quantity

Day only charge per camper$20.00NZD
For those not staying overnight.

Quantity

Total $0.00NZD
Full Name*

First NameLast Name
Full Name

First NameLast Name
Full Name

First NameLast Name
Full Name

First NameLast Name
Name

First NameLast Name
Name

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
Any food allergies?
I will pay via...2

Internet Banking to the Church A/c (030883 0620501 00) ref: Family CampCash
Should be Empty:

Family Camp Registration Form 26