Indonesian Camp Registration - Westminster Presbyterian Church Bull Creek

Activity disclosure

The Indo church Camp is an activity of Westminster Presbyterian Church. The activities include but are not limited to: talks and organised activities.

Are you registering before 31 May 2026? *

Yes
No

Registration type

Adult early bird (until 31 May only)

Price: $180.00

Adult regular

Price: $190.00

Youth early bird (until 31 May only)

Price: $140.00

Youth regular price

Price: $150.00

Kids (age 2-12)

Price: $75.00

Kids (under 2) - free

Price: $0.00

Day Tripper (Adult & Youth)

Price: $100.00

Day Tripper (Kids age 2-12)

Price: $75.00

Payment Details

Payment Details: Cash or bank transfer to Indonesian Ministry Account (BSB: 036 081, AC: 950810) Narration: ICC26 and your first initial and last name (eg. ICC26 GMontolalu).

Name of person completing form *

First

Last

Contact number *

Email *

Gender *

Male
Female

Are you are under 18? *

Yes
No

Date of birth *

Do you have any dietary requirements? *

Yes
No

Select any dietary requirements that apply *

Nut allergy
Gluten free
Dairy free
Other

Please list other dietary requirements *

Are you registering a 2nd person?

Yes
No

Name of 2nd person attending *

First

Last

2nd person's relationship to you *

Gender *

Male
Female

Is the person you are registering under 18? *

Yes
No

Date of birth *

Does the attendee have any dietary requirements? *

Yes
No

Select any dietary requirements that apply *

Nut allergy
Gluten free
Dairy free
Other

Please list other dietary requirements *

Are you registering a 3rd person?

Yes
No

Name of 3rd person attending *

First

Last

3rd person's relationship to you *

Gender *

Male
Female

Is the person you are registering under 18? *

Yes
No

Date of birth *

Does the attendee have any dietary requirements? *

Yes
No

Select any dietary requirements that apply *

Nut allergy
Gluten free
Dairy free
Other

Please list other dietary requirements *

Are you registering a 4th person?

Yes
No

Name of 4th person attending *

First

Last

4th person's relationship to you *

Gender *

Male
Female

Is the person you are registering under 18? *

Yes
No

Date of birth *

Does the attendee have any dietary requirements? *

Yes
No

Select any dietary requirements that apply *

Nut allergy
Gluten free
Dairy free
Other

Please list other dietary requirements *

Are you registering a 5th person?

Yes
No

Name of 5th person attending *

First

Last

5th person's relationship to you *

Gender *

Male
Female

Is the person you are registering under 18? *

Yes
No

Date of birth *

Does the attendee have any dietary requirements? *

Yes
No

Select any dietary requirements that apply *

Nut allergy
Gluten free
Dairy free
Other

Please list other dietary requirements *

Are you registering a 6th person?

Yes
No

Name of 6th person attending *

First

Last

6th person's relationship to you *

Gender *

Male
Female

Is the person you are registering under 18? *

Yes
No

Date of birth *

Does the attendee have any dietary requirements? *

Yes
No

Select any dietary requirements that apply *

Nut allergy
Gluten free
Dairy free
Other

Please list other dietary requirements *

Emergency Contact Information

Contact person in case of emergency *

Relationship to you *

Emergency contact number *

Consents

I consent that WPC Bull Creek may use photos and/or video footage of me and my family for the WPCBC website/newsletter/other publications *

Yes
No

Indemnity

In attending this WPCBC camp, I undertake the following for myself and other family members I am registering: *

I understand that I am solely responsible for the care and safety of myself and my family for the duration of the camp and we agree to abide by the camp rules. In the event of a medical emergency I authorise the WPCBC leaders to arrange emergency medical treatment and/or ambulance cover for me or my family, for which I will bear the cost.

I accept all reasonably forseeable risks associated with the WPCBC camp program and activities for myself and my family.

Signature *

Clear Signature