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Imprint September 2017

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Page 12<br />

Payment<br />

Please Note:<br />

• Full payment for your FACILITIES MUST accompany your application.<br />

• The facility fee applies only to off site campers and day visitors.<br />

My payment includes:<br />

Page 8 TOTAL for Facilities: $<br />

Page 8 TOTAL for Facility fee: $<br />

Page 9 TOTAL for Primary Activities: $<br />

Page 9 TOTAL for Junior Activities: $<br />

Page 9 TOTAL for Teen Activities: $<br />

Page 9 TOTAL for Youth Activities: $<br />

Page 9 TOTAL for Adult Activities: $<br />

Send applications to:<br />

Camp Secretary,<br />

SDA Church (SNSW Conference)<br />

PO Box 800<br />

Canberra ACT 2601<br />

Phone: 02 / 6249 6822<br />

Fax: 02 / 6247 5059<br />

Email: robynhowie@adventist.org.au<br />

Page 10 TOTAL for Meals: $<br />

GRAND TOTAL: $ $<br />

r Cheque enclosed [Make cheques payable to SDA Church (SNSW Conference) Ltd.]<br />

r E-giving (https://egiving.adventist.org.au)<br />

Date Paid: / /<br />

Mark your payment Big Camp 2018. Please note: Select SNSW Conference otherwise if you select your<br />

local church, the payment will be made into your local church account instead of the Conference account.<br />

If you are unsure, call the Conference Office on 6249 6822.<br />

r Credit Card: r Visa r MasterCard<br />

Expiry: /<br />

Name on card:<br />

Signature:<br />

Please Note: We regret we cannot accept applications from people under 18 years of age. Any person under the<br />

age of 18 must be supervised by a person who is at least 21 years of age and occupying the same site or an adjacent<br />

site for the duration of the camp. Please arrange your chaperone early before you submit your application.<br />

q I am under 18 years of age and require a Chaperone.<br />

Chaperone Arrangements<br />

I nominate __________________________________________ (full name of Chaperone) as my Chaperone.<br />

Signature of Chaperone _______________________________ Contact Phone No. ____________________<br />

Volunteers<br />

If you would like to volunteer some of your time to assist during camp, in areas such as Cleaning, Dining Room Duties,<br />

ABC, or Departments, please indicate below.<br />

Surname: ________________________ Given Name: _______________ Contact Phone: ________________<br />

Area/s of Interest: ____________________________________________________________________________<br />

Preferred Days:<br />

q SAT q SUN q MON q TUE q WED q THU q FRI q SAT

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