Event Registration - Latimer Church

Event*

I am registering for:*

A whole team (6 people)
A partial team - please join us with others
As an individual - please add me to a team

Team Name (if you have one)

Hidden

Date*

Name*

First Last

Name of child*

First Last

Names of others in your group (that you are also registering for)

Name of Youth*

First Last

Other Team Members (if registering as a team)

Adult 1*

First Last

Adult 2

First Last

Gender*

Male
Female

Age*

Date of birth*

School currently attending

School Year*

Day's attending*

Tuesday
Wednesday
Thursday
Friday

Is there someone you’d like to be in the same group as?

Address*

Street Address Address Line 2 City ZIP / Postal Code

Youth Phone

Dietary Requirements / Allergies / any special needs we need to know about?*

Parent/Caregiver's Name*

First Last

Phone*

Hidden

Emergency contact phone*

Email*

I am coming:*

For the whole weekend ($165)
For the day on Friday ($45)
For the day on Saturday ($45)

Children

Please include the name and age of all childrenattending camp with you.

Child's name	Age

Camp package*

Family - Accommodation ($345)
Individual adult - Accommodation ($120)
Child aged 2-17 - Accommodation ($70)
Day only - Saturday ($30 adult / $20 child)
Days only - all weekend ($60 adult / $40 child)

Would you like dinner on Friday night?

Yes
No

You are welcome to arrive at the campsite anytime from 4:30pm on Friday 8th March. Dinner will be served from 6pm.

What time do you intend to arrive?

I am coming:*

The whole Weekend ($160)
For the day on Saturday ($60)

Name of second emergency contact if primary caregiver can't be reached*

First Last

Phone number for emergency contact*

Suburb / Area

Can you provide a tent?

Yes
No

If yes, how many can people can your tent sleep?

Are you bringing any guests? Please register them here.

First	Last

Payment - whole weekend

I can pay the whole amount.
I would love to come but can't pay the full amount. I could pay $__ (enter amount below).
I can pay the whole weekend and would love to donate $__ (enter amount below) to help someone else get to the weekend as well.

Amount as above - please leave blank if paying full amount.

Do you have any particular house requests?

People in a house with, need own room etc.

Dietary Requirements / Allergies etc

Preferred Time of Group:*

Tuesday evening
Wednesday evening
Thursday evening
Other (please comment below)

Mobile

Number of guests

Comments/Other information:

Photo Permission*

Throughout the week we may take photos to be shared with the church and used for advertising within church. Please let us know if you are happy for your child to be in photos or not. Please note: any photos taken may be shown as a slide show at the start / finish of the Sunday services (9am, 11am, 4pm) on 6th October. They will not be shared on social media or seen on any livestream.