First Name (given name)
Surname
Name for Name Tag
(Some People like to have a nickname on their Camp Creative name tag)
Age
(Only needed if 16 or younger)

Child Care
Available for children age 6 to 14 who are attending the camp. Enables parents to do off-campus courses. more info
email address
Address - House name/ number and street
Town/ City
State
Post Code
Phone Number Day
Other Phone number (mobile / home)
    Optional half day course:
1st choice:    
2nd Choice:    
Car Registration (this is so we can locate you in case of parking incidents)
Sunday Night Reception (@ $20 BYO).
Concession (if you are a pensioner or social security card holder).
I would like to become a camp creative member for just $5 annually and receive advance notice about future camps.
making a group booking...?

OR

All done?

Camp Creative inc • P.O. Box 561 Bellingen 2454 • Ph: 02 6655 9326
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