CBC Church Camp Rego Form
Your Name
*
First Name
Last Name
Your Email Address
*
example@example.com
How many people are you registering for?
*
Please be sure to include yourself.
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Person 1 Registration Details
Full Name
*
First Name
Last Name
Person 1: Age at camp
*
Please Select
15+
6-14
1-5
>1
Person 1 (Adult) Details
*
Person 1 (child) details
*
Accommodation Type
*
Please Select
Panorama Homestead (15yrs+)
Powered Camping (15yrs+)
Unpowered Camping (15yrs+)
Panorama Homestead (6-14yrs)
Powered Camping (6-14yrs)
Unpowered Camping (6-14yrs)
Panorama Homestead (1-5yrs)
Powered Camping (1-5yrs)
Unpowered Camping (1-5yrs)
Panorama Homestead (Infant >1yr)
Powered Camping (Infant >1yr)
Unpowered Camping (Infant >1yr)
No accommodation, I would like to purchase a day pass(es)
Will person 1 be staying both Friday and Saturday night?
*
Yes
No
Which night will they be staying?
*
Friday night
Saturday night
Day pass
*
Saturday 15+
Sunday 15+
Saturday 6-14yrs
Sunday 6-14yrs
Saturday 1-5yrs
Sunday 1-5yrs
Saturday Infant
Sunday Infant
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Person 2 Registration Details
Full Name
*
First Name
Last Name
Person 2: Age at camp
*
Please Select
15+
6-14
1-5
>1
Person 2 (Adult) Details
*
Person 2 (child) details
*
Accommodation Type
*
Please Select
Panorama Homestead (15yrs+)
Powered Camping (15yrs+)
Unpowered Camping (15yrs+)
Panorama Homestead (6-14yrs)
Powered Camping (6-14yrs)
Unpowered Camping (6-14yrs)
Panorama Homestead (1-5yrs)
Powered Camping (1-5yrs)
Unpowered Camping (1-5yrs)
Panorama Homestead (Infant >1yr)
Powered Camping (Infant >1yr)
Unpowered Camping (Infant >1yr)
No accommodation, I would like to purchase a day pass(es)
Will person 2 be staying both Friday and Saturday night??
*
Yes
No
Which night will they be staying?
*
Friday night
Saturday night
Day pass
*
Saturday 15+
Sunday 15+
Saturday 6-14yrs
Sunday 6-14yrs
Saturday 1-5yrs
Sunday 1-5yrs
Saturday Infant
Sunday Infant
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Person 3 Registration Details
Full Name
*
First Name
Last Name
Person 3: Age at camp
*
Please Select
15+
6-14
1-5
>1
Person 3 (Adult) Details
*
Person 3 (child) details
*
Accommodation Type
*
Please Select
Panorama Homestead (15yrs+)
Powered Camping (15yrs+)
Unpowered Camping (15yrs+)
Panorama Homestead (6-14yrs)
Powered Camping (6-14yrs)
Unpowered Camping (6-14yrs)
Panorama Homestead (1-5yrs)
Powered Camping (1-5yrs)
Unpowered Camping (1-5yrs)
Panorama Homestead (Infant >1yr)
Powered Camping (Infant >1yr)
Unpowered Camping (Infant >1yr)
No accommodation, I would like to purchase a day pass(es)
Will person 3 be staying both Friday and Saturday night?
*
Yes
No
Which night will they be staying?
*
Friday night
Saturday night
Day pass
*
Saturday 15+
Sunday 15+
Saturday 6-14yrs
Sunday 6-14yrs
Saturday 1-5yrs
Sunday 1-5yrs
Saturday Infant
Sunday Infant
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Save
Person 4 Registration Details
Full Name
*
First Name
Last Name
Person 4: Age at camp
*
Please Select
15+
6-14
1-5
>1
Person 4 (Adult) Details
*
Person 4 (child) details
*
Accommodation Type
*
Please Select
Panorama Homestead (15yrs+)
Powered Camping (15yrs+)
Unpowered Camping (15yrs+)
Panorama Homestead (6-14yrs)
Powered Camping (6-14yrs)
Unpowered Camping (6-14yrs)
Panorama Homestead (1-5yrs)
Powered Camping (1-5yrs)
Unpowered Camping (1-5yrs)
Panorama Homestead (Infant >1yr)
Powered Camping (Infant >1yr)
Unpowered Camping (Infant >1yr)
No accommodation, I would like to purchase a day pass(es)
Will person 4 be staying both Friday and Saturday night?
*
Yes
No
Which night will they be staying?
*
Friday night
Saturday night
Day pass
*
Saturday 15+
Sunday 15+
Saturday 6-14yrs
Sunday 6-14yrs
Saturday 1-5yrs
Sunday 1-5yrs
Saturday Infant
Sunday Infant
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Save
Person 5 Registration Details
Full Name
*
First Name
Last Name
Person 5: Age at camp
*
Please Select
15+
6-14
1-5
>1
Person 5 (Adult) Details
*
Person 5 (child) details
*
Accommodation Type
*
Please Select
Panorama Homestead (15yrs+)
Powered Camping (15yrs+)
Unpowered Camping (15yrs+)
Panorama Homestead (6-14yrs)
Powered Camping (6-14yrs)
Unpowered Camping (6-14yrs)
Panorama Homestead (1-5yrs)
Powered Camping (1-5yrs)
Unpowered Camping (1-5yrs)
Panorama Homestead (Infant >1yr)
Powered Camping (Infant >1yr)
Unpowered Camping (Infant >1yr)
No accommodation, I would like to purchase a day pass(es)
Will person 5 be staying both Friday and Saturday night?
*
Yes
No
Which night will they be staying?
*
Friday night
Saturday night
Day pass
*
Saturday 15+
Sunday 15+
Saturday 6-14yrs
Sunday 6-14yrs
Saturday 1-5yrs
Sunday 1-5yrs
Saturday Infant
Sunday Infant
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Save
Person 6 Registration Details
Full Name
*
First Name
Last Name
Person 6: Age at camp
*
Please Select
15+
6-14
1-5
>1
Person 6 (Adult) Details
*
Person 6 (child) details
*
Accommodation Type
*
Please Select
Panorama Homestead (15yrs+)
Powered Camping (15yrs+)
Unpowered Camping (15yrs+)
Panorama Homestead (6-14yrs)
Powered Camping (6-14yrs)
Unpowered Camping (6-14yrs)
Panorama Homestead (1-5yrs)
Powered Camping (1-5yrs)
Unpowered Camping (1-5yrs)
Panorama Homestead (Infant >1yr)
Powered Camping (Infant >1yr)
Unpowered Camping (Infant >1yr)
No accommodation, I would like to purchase a day pass(es)
Will person 6 be staying both Friday and Saturday night??
*
Yes
No
Which night will they be staying?
*
Friday night
Saturday night
Day pass
*
Saturday 15+
Sunday 15+
Saturday 6-14yrs
Sunday 6-14yrs
Saturday 1-5yrs
Sunday 1-5yrs
Saturday Infant
Sunday Infant
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Save
Person 7 Registration Details
Full Name
*
First Name
Last Name
Person 7: Age at camp
*
Please Select
15+
6-14
1-5
>1
Person 7 (Adult) Details
*
Person 7 (child) details
*
Accommodation Type
*
Please Select
Panorama Homestead (15yrs+)
Powered Camping (15yrs+)
Unpowered Camping (15yrs+)
Panorama Homestead (6-14yrs)
Powered Camping (6-14yrs)
Unpowered Camping (6-14yrs)
Panorama Homestead (1-5yrs)
Powered Camping (1-5yrs)
Unpowered Camping (1-5yrs)
Panorama Homestead (Infant >1yr)
Powered Camping (Infant >1yr)
Unpowered Camping (Infant >1yr)
No accommodation, I would like to purchase a day pass(es)
Will person 7 be staying both Friday and Saturday night?
*
Yes
No
Which night will they be staying?
*
Friday night
Saturday night
Day pass
*
Saturday 15+
Sunday 15+
Saturday 6-14yrs
Sunday 6-14yrs
Saturday 1-5yrs
Sunday 1-5yrs
Saturday Infant
Sunday Infant
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Save
Person 8 Registration Details
Full Name
*
First Name
Last Name
Person 8: Age at camp
*
Please Select
15+
6-14
1-5
>1
Person 8 (Adult) Details
*
Person 8 (child) details
*
Accommodation Type
*
Please Select
Panorama Homestead (15yrs+)
Powered Camping (15yrs+)
Unpowered Camping (15yrs+)
Panorama Homestead (6-14yrs)
Powered Camping (6-14yrs)
Unpowered Camping (6-14yrs)
Panorama Homestead (1-5yrs)
Powered Camping (1-5yrs)
Unpowered Camping (1-5yrs)
Panorama Homestead (Infant >1yr)
Powered Camping (Infant >1yr)
Unpowered Camping (Infant >1yr)
No accommodation, I would like to purchase a day pass(es)
Will person 8 be staying both Friday and Saturday night?
*
Yes
No
Which night will they be staying?
*
Friday night
Saturday night
Day pass
*
Saturday 15+
Sunday 15+
Saturday 6-14yrs
Sunday 6-14yrs
Saturday 1-5yrs
Sunday 1-5yrs
Saturday Infant
Sunday Infant
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Final registration details
If you've registered a child/children, will they be accompanied by a parent/guardian?
*
Yes
No
I've not registered any children
Do you or anyone in your group require help getting to or from camp?
*
Yes
No
If so, please provide details here. Eg) Bob needs help getting to camp and Jane needs help getting home.
*
Are you able to help sponsor/subsidise another?
*
Yes
No
Is there anything else you would like us to know ahead of you attending church camp?
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Payment details
Would you like to use our family pass offer to reduce costs?
*
Panorama family pass: 2 adults and 2 or more children = $450
Camping family pass: 2 adults and 2 or more children = $400
No, thank you.
Would you like to purchase a barista coffee package for $15 per person?
*
Yes
No
How many coffee packages would you like to purchase?
*
Total Cost (Auto-Calculated)
*
Payment Amount
*
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