2021 Winter Camp
Winter Camp is for those in year 10-13 at School. Its being held at Peter Snell Youth Camp, Whangaparaoa from 17-20 July. This is a discipleship camp aimed at teenagers who want to deepen their faith in Jesus. Please fill out this form and submit it, then we'll contact you via email within two working days to confirm your registration.
If you have any questions about registrations please contact Alicia on 09 302 7212  or aym@aucklandanglican.org.nz  For any other questions please contact Karen at Anglican Youth Ministries on 021388811 or karen@aym.org.nz
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First name *
Last name *
Gender *
Date of birth *
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School year *
I am coming to camp as *
Street address *
Suburb *
City *
Postcode
Mobile number *
Home number
Email *
What church or youth group are you connected to? *
Name of the Key Youth Leader at your Church? *
If you don't have a Youth Leader, name your Vicar
Have you discussed coming to Winter Camp with your Key Youth Leader? *
Winter Camp is a discipleship camp aimed at those who are keen to deepen their faith in Jesus. We can only take 40 campers, as such as we can only accept a few registrations from each youth group. Therefore we ask that you talk to your youth leader about whether this camp is right for you before you register!
Do you have any medical conditions or medicine that you’re taking? *
Do you have any allergies? *
Do you require a special diet?
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Anything else we need to know?
Camper Parent/Caregiver Name *
(Leaders please give us your emergency contact)
Parent/Caregiver Contact Number *
Leaders please provide the number of your emergency contact
Parent/Caregiver Email Address *
Leaders you can use your own email address here
Payment *
Payment method *
Do not post cash
Disclaimer *
By submitting this registration form, you agree that 1. you will obey all the event rules (including no drugs, alcohol or x-rated material) and to participate in the organised programme; 2. you understand that while the Winter Camp Leadership will take all reasonable care, the leadership will take no responsibility for accidents, loss, injury or damage to person or property; 3. you agree that in an emergency any necessary decisions regarding participant’s welfare can be made by those in charge if a parent or guardian is unable to be contacted; and 4. that you are willing for photos and video footage that may contain participants’ images to be displayed on our website and Facebook page or used in future publicity.
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