Adult Quest Camp 2019 Registration

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LOCATION
Adventure Land, Forster NSW

DATES
Friday 4 October (3:00pm) – Monday 7 October (12:00pm)

COST
$200 if you register before August 30th
$220 if you register after August 30th
Payment in full due by September 27th
Deposit: $50 dollar deposit with registration will secure the lower rate.

PAYMENT
Mail: Northlakes Christian Church
PO Box 3082, Glendale, NSW 2285
Bank Transfer: BSB: 325-185
Account #: 03386057
Include your Surname and “Quest” in the memo

CONTACT
Rob and Lynne Branham
Phone: H: 0249434309 or C: 0402299401
Email: rbranham@bigpond.com

Email *

Name *

Cell Phone Number *

Emergency Contact Name *

Emergency Contact's Phone Number *

I am interested in volunteering in the following areas (these volunteer opportunities may or may not be needed depending on weather, camp plans, etc.)

Kitchen (setup, clean up, food prep)

Small Groups (assist leader of student Small Groups)

Games

Bonfire (start fire, clean up)

Photography

Other:

Food Allergies or Dietary Restrictions? *

Any Medical Conditions or Medications our staff should know about? *

I would like to inquire about financial assistance? (scholarship/payment plan)

Yes

Other:

Clear selection

I understand that in order to hold the early registration cost of $200 I need to register and pay a minimum of $50 by August 30th *

I acknowledge the above statement

Required

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