Event*Select an EventSenior Youth: Winter CampLIFE: EXPLORING LIFE'S BIG QUESTIONSWomen's Weekend AwayConnect CourseI 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) HiddenDate*8th April (11am & 4pm congregations)9th May (7pm congregation)Name* 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 DD slash MM slash YYYY 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 PhoneParent/Caregiver's Name* First Last Phone* Emergency contact phone*Email* HiddenChildrenPlease include the name and age of all childrenattending camp with you.Child's nameAge I am coming: For the whole weekend ($120) For the day on Saturday ($50) 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? 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 Do you have any particular house requests?People in a house with, need own room etc.Dietary Requirements / Allergies etcSpecial needs or things we need to know aboutPreferred Time of Group:* Tuesday evening Wednesday evening Thursday evening Other (please comment below) MobileCamp package* Family - Accommodation ($300) Individual adult - Accommodation ($100) Child aged 2-17 - Accommodation ($50) Day only - Saturday ($25 adult / $15 child) Days only - all weekend ($35 adult / $20 child) Number of guests Comments/Other information: