ontheroad Camp Registrations
****FOR PARENTS / CAREGIVERS & also (Leaders and Junior Leaders) to fill out **********
CAMP IS FULL!!!!!!!!  (but do contact Scottie just in case there is a spot available 021782547)
Fill in all blanks to register yourself for an AWESOME camp - 'ontheroad' Camp
>>>> CAMP IS FULL!!!!!! <<<<<<<
We need to have REGISTRATIONS IN as soon as possible before 15th September
Make sure you click the "submit" button at bottom to register. Please only register Once. If you a registering more than one person fill out a separate form for each person by clicking "Submit another response" on the confirmation window. After you have done the first registration.
LEADERS / JUNIOR LEADERS: Could you please fill this out as well. I know it says Childs name. In a leaders case its YOUR NAME.
Payment details below.
Payment we prefer it done online through our "Rock Solid Youth Trust" ASB account 12-3093-0326942-00
MORE INFO: www.rocksolid.org.nz/ontheroad
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CHILD'S DETAILS + (Adult Leaders and Junior Leaders fill in YOUR NAME etc)
Please fill out your Child's full name (First Name, Surname, Date of Birth, Address etc
First Name *
Surname *
Date of Birth
i.e. 25 April 2011 it would need to be entered 25/04/2011
MM
/
DD
/
YYYY
Sex *
Address *
Street Number and Road
Suburb *
Suburb example KAMO
City *
City example WHANGAREI
Postcode *
Postcode eg 0112
Home Phone *
ie. 09  4386059   or  09-4386059  (please include area code leave a space between 09 and the ph number)
Work Phone
ie. 09  4386059   or  09-4386059  (please include area code leave a space between 09 and the ph number)
Mobile Phone *
Please put in this format ie. 021 782547    or  021-782547
Email Address *
IMPORTANT: Please double check you have entered email correctly as we will use this as main means of communication with you.
Ethnicity *
Ethnicity of children or Leader: Our funders require us to report back percentages of NZ Maori, Pacific Islanders, etc on our camp. We solely just present as a percentage so your child is never identified. Please select from list below or write in the other option.
RS Club
Select the Rock Solid Club you attend. Or if you don't attend Rock Solid which is your closest Rock Solid club area. This camp is mainly for Whangarei Rock Solid but some years some other young people from other Rock Solid clubs join us.
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