YCBC Church Camp 2019

YCBC Church Camp 2019
Family Name *
Email *
example@example.com
Phone Number *
Accommodation (prices are for 2 nights) *

Motel Style Unit Max 4 ppl ($175) Motel Style Unit Air-Conditioned Max 4 ppl ($212) 1 bedroom Unit Air-Conditioned Max 6 ppl ($263) Campsite ($140 +)
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 $5pp.

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) *

1 2 3 4 5
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)

1 2 3 4 5 0
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)

1 2 0
Name
Dietary Requirement?
Dietry Requirement
Name
Dietary Requirement?
Dietry Requirement
Babies (0-12months)

1 2 0
Name
Name
Additional Camping fee over 2ppl. Add $40 for each additional adult (over 17yrs) and $15 for each additional Child (5-17yrs).
$140 + ...
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
Should be Empty:

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