Father/Son Camp 2010

Father/Son Camp Registration
All registrations must be accompanied by a non-refundable $20 deposit. Deposits can be banked to: Camp Columba Committee, West Pac 03 0915 0252118 00
Dad's Name:
Mailing Address:
Home Phone:
Cell Phone:
Email:
Son's Name:
Son's Birthday:

MonthDayYear
Son's Name:
Son's Birthday:

MonthDayYear
Mailing Address #2 if living in separate addresses:
Emergency Contacts
1. Full name:
Home Phone:
Cell Phone:
2. Full name:
Home Phone:
Cell Phone:
Camp Clothing
We have some really cool camp clothing for sale. You can get your very own Camp Columba Hoodie or T-shirt.
I would like to buy a T-shirt for an additional $20:
If yes, please indicate size:
I would like to buy a Hoodie for an additional $40:
If yes, please indicate size:
Camper Medical Conditions and Treatment
Please list any medical conditions and required treatment that we should be aware of:
Camper Dietary Needs
Please list any dietary needs that we should be aware of and we will do our best to meet those needs.
Payment Method
While we require that your registration be accompanied by a $20 deposit, you are welcome to pay in full at this time also. Please select your payment method and amount below.
Payment Method:
Payment Amount if registered before 1 February 2010:
Payment Amount if registered after 1 February 2010:
If you selected other for payment amount or method please give more details here:
That's all the information we need. Please click the submit button below. You will be getting a confirmation package in the mail from us within a week. Can't wait to see you at camp!
Should be Empty:

Father/Son Camp Registration

Emergency Contacts

Camp Clothing

Camper Medical Conditions and Treatment

Camper Dietary Needs

Payment Method