Bull Creek Youth Camp Registration - Westminster Presbyterian Church Bull Creek

Bull Creek Youth Camp 2021 Registration Form

Date

5.30pm Friday 12 March - 3.00pm Sunday 14 March

Venue

Serpentine Camp, Transit Road, Jarradale WA 6124

Activity disclosure

The Camp is an activity of Westminster Presbyterian Church. The activities include but are not limited to: study, talks, organised activities including swimming and sports.

Name of Child Attending *

First

Last

Date of birth *

Parent's Contact Number *

Consents

In signing this registration I authorise the WPCBC leaders/volunteers, ministers, elders, deacons in charge, where it is impractical to communicate with me, to arrange for medical treatment for my child/ward as deemed necessary by a qualified medical practitioner *

I have submitted a Bull Creek Youth 2021 Registration form for my child/ward and agree that the information given by me for my child/ward is current, true and correct. *

Signature *

Date *

Phone

Please also complete the Bull Creek Youth 2022 registration form for your child