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Easter Camp Form 2012

Easter Camp Form 2012

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Published by Jen Plaistowe
This is the booking form for AU Christian Easter Camp 2012- hope to see you there:)
This is the booking form for AU Christian Easter Camp 2012- hope to see you there:)

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Published by: Jen Plaistowe on Jan 29, 2012
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10/09/2012

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Adventure Unlimited Australia
 
Worldwide Youth and Family Activities in a Christian Science Atmosphere
.
2012 Easter Camp
YMCA Coastal Discovery Centre, Phillip Island, Victoria
Friday 6th - Tuesday 10
th
April, 2012
Melbourne Chapter : Committee:
Sten Palmer prinsten@gmail.comDavid Fletcher 
03 9802 3534
Noni Healynonimayclarke@gmail.com
 
Unit 2, 1 Elm Grove Mt Waverley Vic 3149
 
Jen Plaistowe
 
iwannatalktojen@hotmail.comEmail:dgfletch@bigpond.net.au Nathan Everett
2012
EASTER CAMP Booking Form
Please fill out this form and return it, with your 
DEPOSIT of $50 per person, to
 
the above address, no later than 14
th
February, 2012.** Cheques payable to “ADVENTURE UNLIMITED” or DIRECT DEPOSIT to Adventure Unlimited Melbourne, Commonwealth Bank Glen Waverley, BSB 063-174 Acc’nt 10036677 
(confirm by email)
Family Name: ______________________ Attending parents: Mr______________Ms/Mrs____________School Children: ___________________ Age ____ 18+Students: ____________________Age _____________________________ Age ____ Young Adults_____________________ Age ___Address:StatePost CodeTelephone: (Home) ( ) Email:Church / Sunday School Attended
Any special diet requirements ?Vegetarian (How many ?) .... Vegan …… Other
Time in Camp
:
 
FULL TIME
Friday April 6th - Tuesday afternoon 10
th
April (4 nights)
or
 
PART TIME
 
From .............................. to ............................. ( ....... days)
A
 
CCOMMODATION COSTS (Australian Dollars!)(Travel costs not included)
4 nights
Adult 18+ $370
School Student (6 – 17) $330
Transport to Camp
:
q
By Own / family
Car
to Camp
 
By
plane
to Melbourne from __________ (Advise when known) 
Arriving at _____________ on Flight _________ on (day)________________Departing at ______________on Flight __________ on (day)________________
 
By
XPT (night) train
 
from
Sydney
Thursday. Return Tuesday (arr Wednesday morning)
 
By Chartered
 
Bus from Melbourne to camp and return.
PLEASE BOOK A PLACE FOR THE FOLLOWING ADDITIONAL ACTIVITIES:
Upto $45 worth of activities is included in the Camp Fee. (Additional costs will be charged asextras)
 
All equipment is provided. Please indicate choices
: ** Supervised by YMCA or Outdoor EducationInstructors.
 
SURFBOARD RIDING ** ($25)
Names
……
…………………………. ……………………………..
 
SNORKELLING ** ($25)
…………………………. …………………………………….
 
 
MOUNTAIN BIKE ** ($10)
………………
 
……….....
 
 
OPEN WATER SEA-KAYAK ** ($40)
.......................... ............ ………… …………
 
 
Visit to PHILLIP ISLAND PENGUIN PARADE) ($15)
……….....
……………………………………
 
 
 
Visit to PHILLIP ISLAND GRAND PRIX CIRCUIT ($15)
.......................................................
 
 
Visit to PHILLIP ISLAND KOALA CONSERVATION CENTRE ($10)
.....................................................Please find enclosed / EFT transfer 
$50 camp deposit per person.
I undertake to pay the balance by
March 10
Additional travel costs, and “extra” activity charges will be payable prior to camp.
As a Christian Scientist … (each camper to sign)
 
I am a member of my local Christian Science Church ………………………. …………………
 
I am a member of The Mother Church ………………………. …………………………………..
 
I attend Christian Science Church regularly ……………………….………………………
 
 
I attend C.S. Sunday School regularly ………………………. …………………………………..
 
I attend C.S. Church / Sunday School occasionally. …………………… ………………………
 
I have not attended C.S. Church / Sunday School over the past 12 months
 
…………………..
WILLINGNESS TO ASSIST:
(please indicate names if completing form for more than one member of a family)
 
I would be prepared to assist in camp as ……
 
Group Leader ( )
 
Activity Leader in ………………………….
 
Discussion Leader ( )
 
Dormitory Leader ( )
 
Other suggestions: …………………………
WILLINGESS
TO ASSIST
 
Reader at Sunday Service / Testimony Meeting ....................................................
Each member of the family agrees to abide by the Adventure Unlimited standards in camp:
 
Refrain from bringing or using tobacco, alcohol or addictive drugs;
Co-operate harmoniously with other campers, leaders and camp management staff;
 Adhere to bed-time and dormitory rules;
 Actively participate in all aspects of the program, including metaphysical and religious activitiesand house-keeping duties
.
(Failure to uphold these standards may result in a camper being asked to leave camp at their own expense)
Signature of each camper 
:------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
 
In the event of accident or illness during camp, I give my consent to my child seeking help from aChristian Science Practitioner, and Christian Science Nurse.
Parent's approval for child (under 18) to attend and participate in activities.
---------------------------------------------------------
Note: Financial Assistance is available.
 A letter of application may be made to the Easter Camp Committee for partial financial assistance. Youshould outline your reasons for wanting to attend camp, and the contributions (both financial, physical and metaphysical) that you are able to make.
COMMITMENT
 
TO CHRISTIAN SCIENCE
 
COMMITMENT
 
TO CHRISTIAN SCIENCE

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