Family Camp Registration Form

Contact Details

Name

Address

Phone

This address will receive a confirmation email

If registering more than yourself, write all other names here (e.g. if registering your family). Please include the age of each child.

Emergency Contact Name

Emergency Contact Phone

Medical Information

This section must be completed for your registration to be accepted.

Do you or your family members (who are attending) have any medical conditions we need to be aware of?

Yes No

If Yes, please state here:

Do you have any allergies? (Including medication/food/other)

Yes No

If Yes, please state:

Do you have any specific dietary needs?

Yes No

If Yes, please specify:

I give my consent for the camp to give any necessary medication for general health care (e.g. paracetamol)

Yes No

Parent/Guardian consent if under 18 years

I give permission for my child/ward to attend the Nativity Church Family Camp fom Friday 21st February to Sunday 23rd February 2024 at Kiwi Ranch, Curious Cove, Marlborough Sounds.

Name of child/ward

Parent/Caregiver Name

Saturday Only

If you would like to attend on the Saturday 22nd February, the cost is $15 per person. You will also need to arrange boat transport to Kiwi Ranch.

Please let us know if:

- you are bringing your own boat (so we can ensure there is a berth for your boat available)

Payment

COST FOR WEEKEND (Payment needed by 11/2/2025)

Price
Adults 16+ $120
5-15 years $100
Under 5's $ 20

Boat fare $40* per person (return trip)

* Funding is available to cover some boat fares, please contact Glen or the Wardens if you require this.

This includes meals on Saturday and Sunday (need to bring own on Friday night) plus 2 nights' accommodation.

SATURDAY ONLY
5+ years $15
Under 5's Free

Includes meals. Does not include cost of transportation.
Please notify the office if you intend to come for the day only so we can arrange catering.

Payments are to be paid in full by 11th February 2025 and can be made by bank deposit. Payments can also be made in instalments. If you need more time please contact Glen or the church office.

Please make payments to:

Blenheim Anglican Parish

06-0705-0429077-000

Description: Camp

Code: 1850

Reference: Surname

Description

21st February - 23rd February 2024

We would love for you to join us at our 2025 Church Family Camp!

It will be held from Friday evening (21st Feb) to Sunday afternoon (23rd Feb 2025) at Kiwi Ranch, situated at Curious Cove in the beautiful Marlborough Sounds.

Our Church Family Camp is a wonderful opportunity to get away from the hustle and bustle of life and spend time with God and members of our church family.

There is plenty to do at Kiwi Ranch for young and old alike. We have a great guest speaker lined up and have allowed plenty of time to spend worshipping God.

There is also fishing (bring your own gear), walks and other fun activities, relax with a book or spend time getting to know each other better.

PLEASE NOTE: No alcohol, drugs, smoking or chewing gum are permitted onsite.

Please fill out this form and click submit.

Family Camp Registration Form

Description

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