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CAMP EASTER BOYS April 18 - 21 Ages 9 - 15 Easter Boys Camp is run in affiliation with Duncraig Christian Community Church. Contact our Church office on 9448 5760 for more info. REGISTRATIONS Visit www.duncraigccc.com.au to download more forms, or to complete our online registration form. SUBMISSIONS Please return all forms to Jason Troiani at 41 Beddi Rd, Duncraig PERTH W.A. 6023 no later than MONDAY 8th APRIL 2019. QUERIES Main Queries - DCCC Office Melinda (Tues) 9448 5760 | [email protected] After Hours - Jason Troiani - 0409 081 901 CAMP CONTACT DETAILS Jason Troiani - 0409 081 901 | James Dorn - 0435 165 319 REGISTRATION DETAILS Full Name Address Email D.O.B Dorm With Emergency Contact Name Emergency Contact Phone Payment Method Cash Cheque EFT Transport Required Yes No If transport is required, please tick desired pick up point below (please stay with your child until bus arrives) Duncraig Christian Community Church - 4.00pm 41 Beddi Rd Duncraig BULLCREEK WESTMINSTER PRESBYTERIAN CHURCH - 5.00pm Cnr. Bull Creek Drive & Fyfe Circle (Church Car Park) DISCLAIMER I give permission for my son to attend Easter Boys Camp from Thursday 18th April to Monday 21st April 2019. All care will be taken, Duncraig Christian Community Church and Boys Camp leaders request campers to adhere to leaders instructions for their own safety. MEDICAL CONSENT I authorise in an emergency, the camp nurse* to arrange any medical or dental treatment required, and to authorise the giving of an anaesthetic (general or local). In an emergency I give permission for the camp nurse to call an ambulance. I authorise the camp nurse to give over the counter medication to my child as deemed necessary. Parent/Guardian Signature Date Water Tubing Sports Adventure Climbing DUNCRAIG CHRISTIAN COMMUNITY CHURCH

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Page 1: Email Tubing Payment Method Cash Cheque EFT Sports EASTER …duncraigccc.com.au/.../2019/02/EBC-19-Forms-FINAL.pdf · Some money (tuck-shop available), water bottle - with your childs

CAMP

EASTERBOYS

April 18 - 21Ages 9 - 15

Easter Boys Camp is run in affiliation withDuncraig Christian Community Church.

Contact our Church office on 9448 5760 for more info.

REGISTRATIONSVisit www.duncraigccc.com.au to download moreforms, or to complete our online registration form.

SUBMISSIONSPlease return all forms to Jason Troiani at 41 Beddi Rd, Duncraig PERTH W.A. 6023 no later than MONDAY 8th APRIL 2019.

QUERIESMain Queries - DCCC Office Melinda (Tues) 9448 5760 | [email protected] Hours - Jason Troiani - 0409 081 901

CAMP CONTACT DETAILS Jason Troiani - 0409 081 901 | James Dorn - 0435 165 319

REGISTRATION DETAILSFull NameAddressEmailD.O.B Dorm WithEmergency Contact NameEmergency Contact PhonePayment Method Cash Cheque EFT

Transport Required Yes NoIf transport is required, please tick desired pick up point below(please stay with your child until bus arrives)

Duncraig Christian Community Church - 4.00pm 41 Beddi Rd Duncraig

BULLCREEK WESTMINSTER PRESBYTERIAN CHURCH - 5.00pm Cnr. Bull Creek Drive & Fyfe Circle (Church Car Park)

DISCLAIMERI give permissionfor my son to attend Easter Boys Camp from Thursday 18th April to Monday 21st April 2019. All care will be taken, Duncraig Christian Community Church and Boys Camp leaders request campers to adhere to leaders instructions fortheir own safety.

MEDICAL CONSENTI authorise in an emergency, the camp nurse* to arrangeany medical or dental treatment required, and to authorise the giving of an anaesthetic (general or local). In anemergency I give permission for the camp nurse to callan ambulance. I authorise the camp nurse to give over the counter medication to my child as deemed necessary.

Parent/Guardian SignatureDate

Water TubingSportsAdventure Climbing

DUNCRAIG CHRISTIANCOMMUNITY CHURCH

Page 2: Email Tubing Payment Method Cash Cheque EFT Sports EASTER …duncraigccc.com.au/.../2019/02/EBC-19-Forms-FINAL.pdf · Some money (tuck-shop available), water bottle - with your childs

MEDICAL DETAILS

Medicare Number

Position on Card Expiry

Ambulance Cover Yes No

Ancillary Cover

Does your child have any allergies Yes No

Please specifyPlease state the severity

Does your child need medication Yes No

Please specify

Does your child have any special requirementsPlease Specify

Can your child swim 25mEasily With Difficulty Not at All

Date of last Tetanus immunisation

Medical History

Any other condition which could be relevant

*DCCC Easter Boys Camp will have a fully quali�ed and practicing nurse at all outings and on the camp premises at all times for the duration of the camp.

GETTING TO CAMP

A bus will be transporting campers to BusseltonChristian Campsite, (172 Caves Road Busselton), viatwo pick up points. Please ensure you are there ontime until the bus arrives. Please tick appropriate boxin registration details. We will be returning to Bullcreekat 4pm and DCCC at 5pm on Monday 21st April.

CHECK LISTBedding Sheet pillow sleeping bag

Clothing Bathers Towel (bath and beach) Clothes Rashee (swim Shirt Thongs WARM clothes (for cool nights) Joggers Hat

Toiletries Toothbrush Toothpaste Deodorant soap bath towel

Amenities Pen Torch Note Book Signed Forest Adventures Waiver form Bible (if have one) Some money (tuck-shop available), water bottle - with your childs name on it.

CAMP LEADERSAll leaders and helpers who are over 18 have currentworking with childrens checks. Whilst all care is takenDCCC cannot be held responsible for any loss or damage to valuables.

THE COST

1 Child - $1402 Children - $240*3 Children - $330*

*Multiple children rates apply to children from the samefamily

PAYMENT DETAILS

ONLINE/CREDIT CARDPlease visit www.duncraigccc.com.au/boys-camp to register and pay online

EFT TRANSFER

BSB - 036 080ACC No - 397355REFERENCE - Childs first initial.Last name EBC19EG: J.SmithEBC19

CHEQUES

Please make cheques payable to DCF BOYS CAMP

CAMP ACTIVITIES

This year one of our activities will be held atForest Adventures South West. Forest Adventures isa Tree top high ropes course with zip lines and rockclimbing walls.

Please note all campers wishing to take part in thisactivity will need to have the attached guardian formfilled out and signed along with the Boys Campregistration form. Campers that do not have the attached form signed will not be able to take part.

This activity is included in the camp fees and does notcost extra. Please visit forestadventures.com.au formore info on the activity.

Please do not bring phones, tablets, bad attitidesscooters or any other personal valuable items.Camp directors and leaders will have phones if yourchild needs to call home. If you do choose for your child to bring phones please be aware that Easter BoysCamp and its leaders cannot be responsible for them.