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Genesis Youth Camp 2022
MONDAY 10TH JAN TO THURSDAY 13TH JAN
FOR MORE INFORMATION CONTACT YOUTH PASTOR JORDAN WINSLADE
jordan@genesisgc.com.au
0415 117 712
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Email
*
Your email
Registration Form
Name (one name per form please)
*
Your answer
Date of birth
*
Your answer
Which grade in 2022?
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Year 7
Year 8
Year 9
Year 10
Year 11
Year 12
Mobile number (for youth member)
Your answer
Parent/Guardian Name
*
Your answer
Residential Address
*
Your answer
Parent/Guardian Mobile phone number
*
Your answer
Emergency contact (someone we can contact if we can't reach the Parent/Guardian immediately)
*
Your answer
Anything else we might need to know(allergies, phobia's etc.)
Your answer
Any medication? (if yes, it must be clearly named with instructions and handed to a camp leader on arrival)
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Yes
No
Maybe
Payment - $150 per person, or $100 per person if more than one child per family is attending camp
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Direct Deposit to Genesis Christian Ministries Ltd, BSB 084-572, Account Number 46 517 8191
Cash or EFTPOS in person at Church or Youth (registration will not be confirmed until payment is made)
Other:
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