Full Name * Email Phone Number Who Are You Registering? * Just Me Include My Spouse (no children) Include My Spouse and Children Include My Children Spouse's Name * Children 1. Child's Name * Date of Birth Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Enter Year in empty text box 2. Child's Name Date of Birth Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Enter Year in empty text box Add more Children - None -123456 3. Child's Name * Date of Birth Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Enter Year in empty text box 4. Child's Name * Date of Birth Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Enter Year in empty text box 5. Child's Name * Date of Birth Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year 6. Child's Name * Date of Birth Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Enter Year in empty text box 7. Child's Name * Date of Birth Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Enter Year in empty text box 8. Child's Name * Date of Birth Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Enter Year in empty text box Allergy Information * Please write 'None' if you do not have any allergies. Additional Comments Any additional notes that you would like to pass onto the organisers. Media Consent I consent to photos of me and my family from this camp being used for promotional purposes (e.g. appearing on the church website) Registration Type * - Select -Full CampDay visitor Day Visitor Comments * Let the organisers know when you'll be at Camp Payment Method * - Select -Paypal, Credit or Debit CardDirect DepositCashCheque