Please complete the following Registration Form Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Children's names and agesSpecial Dietary RequirementsAdultsAdult rate - $185 per personUni Student$165 - per studentChildren 0-4 yearsChildren 0-4 are freeChildren 5-12 yearsChild rate - $105 per child Illumin8 youthIllumin8 youth rate - $135 per youthor Maximum Family RateMax rate - $420TOTAL COST *Total number attending *Camping OptionPayment Options *DIRECT DEPOSIT into Southside Account BSB 032 713 Acc# 193 427. If Direct Deposit mark "Camp + your name" for internet transfersCash in envelope marked "Name + Church Camp" into YELLOW BOXNot sure if I can afford the full amount (speak to any of Leadership Team)I would like to sponsor someone else to help them get to campTransportPlease help me with transport - It's too far to walkI can help transporting peopleI can help transporting equipmentIf you can help with transport, please indicate how many car spaces you haveCommentSubmit