• The Music & Dance Camp Registration Form

    The Music & Dance Camp Registration Form

    5th-9th July 2026 These forms are required for your children to attend camp.
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  • What is your relationship to child or children*

  • Parent/Caregiver Information

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  • Do the child(ren) live at the address provided?*

  • Camper Information

    Please only register children living at the same address on the same form
  • Gender*
  • Date of Birth (Must be 8-12 years)*
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  • If you are 13 years or older and interested in serving as a camp leader please use our Junior Leaders Application Form. 

  • Do you need to add a child from the same family?*
  • Gender*
  • Date of Birth*
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  • Do you need to add another child from the same family?*
  • Gender*
  • Date of Birth*
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  • Organisations involved with your child/ren:
  • Is the parent/caregiver named previously picking up the child(ren) from camp?*
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  • Medical / Health Information

    Campers
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  • Camper 1 Swimming Ability*
  • Camper 2 Swimming Ability*
  • Camper 3 Swimming Ability*
  • Does your child/ren have any allergies that require medication?*
  • Does your child/ren have a medical condition that requires medication?*

  • Dietary Information

    Campers
  • Does your child/ren have any food allergies?*
  • Does your child/ren have any of the following dietary restrictions?

  • Emergency Contacts/Authorized Pickup

    The parent or guardian listed in the previous section CANNOT be listed as an emergency contacts. List the names of two people who can be contacted in the event of an emergency or illness if the parent/guardian cannot be reached. Any person listed should be able to assist in contacting you. At least one person listed must be within one hour of the camp, able to take responsibility for the child in case the parent/guardian cannot be contacted and should be at least 18 years of age.

  • Emergency Contact

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  • Billing Details

    The camp costs $260.00/child or $240.00/child if two or more attend from the same family. Fees can be paid by instalments prior, please email bookings@chosenvalley.org.nz to arrange this. Otherwise please pay upon receipt of your invoice. Full payment is required before camp begins. Please note that we have no Credit Card or EFTPOS facilities
  • Payment Options:*
  • I am currently registered with WINZ and qualify for a OSCAR subsidy. Please send me an OSCAR Subsidy declaration for this school holiday programme.
  • I am not currently registered with WINZ and do not know if I qualify for a OSCAR subsidy.
  • Will the invoice require a purchase order number?*

  • Terms and Conditions of Booking

    Camper Agreement

  • Camp Rules and Camper Agreement
    We want to make sure that everyone who comes to camp has the best time. We have rules that everyone has to follow. Please read these and sign your name to show you agree to follow them.

    1. I will follow all safety signs: Go, Wait, Stop.
    2. I will not play with fire hoses, fire alarms or extinguishes.
    3. I will not go into other cabins belonging to the opposite gender.
    4. As a camper I will stay with my team and follow the instructions given by my leaders.
    5. I will not swap teams / dorms.
    6. I will not take food and drink into the dorms.
    7. I understand that bullying, teasing or name calling will not be tolerated (This may result in me being sent home).
    8. I understand fighting and violence will result in myself, the camper, being sent home.
    9. I understand that there is no inappropriate physical contact at camp.
    10. I will not go in areas that are out of bounds except in an emergency, this includes:
    • The main road and car park
    • Staff houses and surrounding gardens and driveways
    • Workshop and storage areas
    • The pond area without your leader

  • Terms and Conditions of Booking

    Parents Agreement
  • USE OF PHOTOS/VIDEOS BY CHOSEN VALLEY CHRISTIAN CAMP

  • You will need to scroll through and read the conditions below to enable the permission checkbox.

  • Date Signed*
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  • Other information

  • Arrival & Departure

    Camp registrations open at 3:00 pm on Sunday and camp finishes the following Friday at 11:00 am.

    Late pickup can be arranged prior to camp at the Camp Director’s discretion.


    Security:

    At the beginning of camp you will need to sign-in your child to camp and at the completion of camp you will need to sign-out your child before you take them home.


    Emergency Contact
    General phone calls to campers are discouraged as often children become more home sick. If you need to contact your child in an emergency please call the camp office where the phone will be answered.
    Chosen Valley Christian Camp - 09 294 8296

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