SPA Teen Camp 2024 Online Registration Form
8-12 January 2024
Living Springs Camp & Conference Centre
Canterbury, New Zealand
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Camper's full name *
Camper's preferred name (if different from above) *
Camper's sex *
Camper's date of birth *
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Is this registration for a Teen, or a Teen Leader? *
What is the camper's home church? *
Teen's school year in 2024 *
Is the Teen a disciple? *
Teen's baptism date (if applicable)
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Does the Camper have any dietary requirements? Please describe below. *
Does the Camper have any medical conditions, including but not limited to injuries, sleepwalking, epilepsy, migraines/headaches, allergies, diabetes that the Camp Directors and Camp Nurse should be aware of? Please describe below *
Does the Camper require assistance in administering any medications or measures from the Camp Nurse, or a Teen Leader? If yes please provide a detailed description including dosage.
Please list 2 emergency contacts for the Camper below including name, relationship to the Camper, and phone number *
Does the teen have any other needs we can be aware of? E.g neurodiversity, disabilities, or English language barriers? *
Would you like to have all your bedding and linen provided for you by Living Springs Camp for an additional charge of $30? *
Does the Teen have any siblings also attending camp? Please name them below *
Any additional comments?
For teens- I understand that my registration will not be complete until I have submitted my signed waiver and release form, and that this form must also be signed by my church leader *
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