YCBC Church Camp 2019

Family Name*

Email*

example@example.com

Phone Number*

Accommodation (prices are for 2 nights)*

Motel Style Unit Air-Conditioned Max 4 ppl ($212)1 bedroom Unit Air-Conditioned Max 6 ppl ($263)Campsite ($140 +)Day participant ($20/adult)

Meals
We will have 3 meals catered for the camp, Saturday Lunch & Dinner, and Sunday Lunch. Note: Breakfasts aren't included, to provide space for slower mornings and family breakfasts.

The total cost of these meals are:
Adults + Teens (13yrs +): $70
Children 4-12yrs: $40
Children 1-3yrs: $20
Babies 0-12months: FREE

Dietary Requirements are an additional $15pp.

This will be calculated for you at the end of this form

Adults
Please list the name and any dietry requirements of each person 13yrs and over staying in same accommodation.

Number of Adults & Teens (13yrs and over)*

Name*

Dietary Requirement?*

Dietry Requirement

Name

Dietary Requirement?

Dietry Requirement

Name

Dietary Requirement?

Dietry Requirement

Name

Dietary Requirement?

Dietry Requirement

Name

Dietary Requirement?

Dietry Requirement

Children
Please list the name and requirements of each Child 4-12yrs.

Children (4-12yrs)

Name

Dietary Requirement?

Dietry Requirement

Name

Dietary Requirement?

Dietry Requirement

Name

Dietary Requirement?

Dietry Requirement

Name

Dietary Requirement?

Dietry Requirement

Name

Dietary Requirement?

Dietry Requirement

Children (1-3yrs)

120

Name

Dietary Requirement?

Dietry Requirement

Name

Dietary Requirement?

Dietry Requirement

Babies (0-12months)

120

Name

Additional Camping fee over 2ppl. Add $40 for each additional adult (over 17yrs) and $15 for each additional Child (5-17yrs).

$140 + ...

Day Participant - $20pp. Please add $20 for each Adult into this field to be calculated in total cost.

$20/adult

I would like to make an additional contribution to help another person/family join us. (This will be included in your total cost).

Any amount will help out!

Any Additional Information

Total Cost