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Balvihar Camp 2019
For Children from 8 to 15 years of age
20th -- 22nd September 2019
YMCA Shakespear lodge
Whangaparora
$120 - early bird if paid by 8th September 2019
$130
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Email
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Full Name of the Child
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Gender
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Date of Birth of the Child
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Does your child have any food allergies?
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What suburb do you live in?
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Name of Mother/Guardian & Mobile Number
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Name of Father & Mobile Number
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Mode of Payment
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Online: 12-3043-0370005-00 Ref: <Name of Child> - <Balvihar Camp> e.g. Ram - Balvihar Camp
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Authorisation
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We (parents/guardians) hereby consent our child to attend the Balvihar Camp as chosen above
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