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Senior Camp LIVE Application 2021
4th -10th July 2021
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* Indicates required question
Email
*
Your email
Last Name
*
Your answer
First Name
*
Your answer
Address Line 1
*
Your answer
Address Line 2
*
Your answer
Address Line 3
*
Your answer
Address Line 4 (County)
*
Your answer
Postcode
*
Your answer
Camper Contact Mobile Number (This may be used to contact you during camp)
Your answer
Parent Contact Mobile Number
Your answer
Date of Birth (if using android, double tap on year to select year of birth, then month, then date)
*
MM
/
DD
/
YYYY
Sex
*
Male
Female
Age at Camp
*
Choose
16
17
18
19
20
21
22
23
24
25+
Is this your first time at Senior Camp?
*
Yes
No
If this is your first time did you attend Girls or Boys Adventure Camps
Yes
No
Clear selection
Do you belong to a church?
Yes
No
Clear selection
What Congregation do you belong to? If Non-RP just add your own church name and denomination. (We just love it when campers join in from other churches too!)
Your answer
What Presbytery do you belong to? (If Applicable)
Western
Northern
Southern
Eastern
Scottish
Non-RP
Other:
Clear selection
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