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Bathurst Diocese Camp!
Friday 19th - Sunday 21st August 2022
"Ridgecrest"
Christian Education and Convention Centre
621 The Circle Road, Mumbil 2820
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Names of Those Attending: Person 1
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Names of Those Attending: Person 2
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Names and Ages of Family Under 18:
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Contact Details: Phone No.
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Postal Address:
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Parish:
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I / We will be attending:
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Friday 19th - Sunday 21st : Full Camp
Saturday Only - including lunch
Name and Phone No. of Emergency Contact:
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Dietary Requirements:
Gluten-free
Vegetarian
Vegan
其他：
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Medical Information:
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Medicare No.
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Child / Baby Requirements:
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Cot
High Chair
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Are you happy for your email address to be included as part of a group email?
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No
Are you happy for images taken to be used in diocesan publicity?
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Adults: $160, Under 18's $140, Max. for Families $420
Payment: I will be paying by
Direct Transfer to: 082-441 392 655 240
Cheque Payable to: "Anglican Diocese of Bathurst", PO Box 23 Bathurst NSW 2795
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