REGISTRATION CLOSES 12th NOVEMBER

personal information

emergency contact

name _________________________________________________

cell _________________________________________________

email * _________________________________________________

(we need an email address to mail your registration confirmation to)

grade _________________________________________________

church _________________________________________________

medical conditions

__________________________________________________________________

allergies / dietary needs

__________________________________________________________________

name _________________________________________________________

cell _________________________________________________________

L

3XL

no refunds after 24 Novemberfill in this form stick it in an envelope

with your feessubmit to your church leader

do you want to buy a tshirt

for an extra R70?

are you a guy or a girl?

BORDER SUMMER CAMP 2017

Get it? Got it. Good!#bordersummercamp #Capiche #Ephesians3vs14-19

I, the undersigned _______________________________________________________________ (name) of ____________________________________________________________________________ (address), (h) ________________________________________ (c) ________________________________________

hereby consent that __________________________________________________________ (camper)may attend the Border Summer Camp, at The Cove, Nahoon Dam Rd East London, from the 11th – 15th December 2017.

Whilst all reasonable precautions and measures will be taken, I understand that the attendance of this camp is undertaken at the above mentioned person’s own risk and I indemnify, hold blameless and absolve the organisers, Border Summer Camp, and any of the camp leadership, against any claims of whatsoever nature that may arise as a result of the above mentioned person’s attending the above mentioned camp.

I further request the leaders act ‘in loco parentis’ during this camp. I understand that in the case of illness or accident, where medical attention is needed, I will be contacted as soon as possible and that the cost thereof will be my liability.

Guardian _________________ Date _____________

indemnity form

what to bring/ the needstentmattress & beddingtoiletries & towelsummer clothesBible & pen

/ the wantsfull costume boardiesgum bootstorchsunblocktuckshop money

need to know11th - 15th December2pm Monday - 12pm Friday

Gr 7’s - Gr12’s (class of 2017)

The CoveNahoon Dam Rd, East London

R600 excl. merchandise /bordersummercamp

bit.ly/BSCYouTube

borderscamp

BORDER SUMMER CAMP INFORMATIONregister@bordersummercamp.co.za043 735 2340 (available Tuesday-Friday, 8am-5pm)

Tyra Radue

Please note that forms & fees must be submitted through the church the camper will be attending with.Forms cannot be submitted directly to Border Summer Camp