gr 8-12 diverge - stirlingbaptist.com · youth camp gr 8-12 glen muir 2-4 july. grades venue date...

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T-SHIRT SIZE NAME SURNAME GRADE CELL INSTAGRAM DIETARY NEEDS MEDICAL CONDITIONS AND ALLERGIES EMERGENCY CONTACT NAME CELL EMAIL COMPLETE & RETURN WITH FEES IN A MARKED ENVELOPE BY 14 JUNE CAMPER ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ DIVE GE R S M L XL XXL YOUTH CAMP GR 8-12 GLEN MUIR 2-4 JULY

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T-SHIRT SIZE

NAME

SURNAME

GRADE

CELL

INSTAGRAM

DIETARY NEEDS

MEDICAL CONDITIONS

AND ALLERGIES

EMERGENCY CONTACT

NAME

CELL

EMAIL

CO

MP

LE

TE

& R

ET

UR

N W

ITH

FE

ES

IN

A M

AR

KE

D E

NV

ELO

PE

BY

14 J

UN

E

CAMPER

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DIVE GER

S M L XL XXL

YOUTH CAMPGR 8-12

GLEN MUIR2-4 JULY

GRADES

VENUE

DATE

COST

QUESTIONS?

PACK

8-12

Glen Muir Holiday Resort, Glen Eden

2-4th July

R550 including T-Shirt

Contact Mark on 043 735 2340

Comfortable clothes, walking shoes, bible and notebook,toiletries, towel, bedding, cutlery and crockery

Tue between 9-12am

Thur at 11am

CHECK IN

CHECK OUT

Whilst all reasonable precautions and measures will be taken, I understand that the attendance of

this camp and transport to and from this camp is undertaken at the above mentioned person’s own

risk and I indemnify, hold blameless and absolve the organisers, Stirling Baptist Church, and any of

the camp leadership, against any claims of whatsoever nature that may arise as a result of the above

mentioned person’s attending the above mentioned camp. I further request the leaders act ‘in loco

parentis’ during this camp. I understand that in the case of illness or accident, where medical

attention is required, I will be contacted as soon as possible and that the cost thereof will be my

liability.

INDEMNITY

I, the undersigned ................................................................................................ (guardianʼs name)

of ............................................................................................................................................... (address)

Contact (h) .................................................................. (c) ..................................................................

hereby consent that .............................................................................................................. (camper)

may attend the SBC Diverge Youth Camp, at Glen Muir Holiday Resort near

NO FORM WILL BE ACCEPTED WITHOUT A SIGNED INDEMNITY

Guardian ............................................................... Date ...............................................................

Glen Eden, from the 2-4 July 2019.