LATTER RAIN YOUTH CAMP 2026

LATTER RAIN YOUTH CAMP 2026
Date : 28th September - 2nd October

Location: Camp Quaranup

743 Quaranup Rd, Vancouver Peninsula WA 6330

Year 7 & above! Limited Spots!
Name

First NameLast Name
Gender
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Age
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Any of siblings coming with you?
If so, please provide their full names
Preferred Language
Emergency Contact Person Name
Your relation to this person
Emergency Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Are you born again?
The name of the church you attend
Dietary Requirement
Medicare card number
Please upload your medicare card photo

Cancelof
Camp Fee
prevnext( X )
Highschooler
$200.00



General Admission
$250.00



Interstate/Overseas
$150.00



Camp Merch
Price to be announced later

$60.00 Size



Total

$0.00
Payment Method
Please bank transfer to this account below:

BSB: 066-167

Account: 10665360

Account Name: FGWC YOUTH
Please upload a screenshot of your successful bank transfer

Cancelof
Signature of your guardian if you are under 18
Should be Empty: