First Name
Surname
Postal Address
Telephone
Cellphone
Email
Child Gender Boy
Girl
School
Grade
Date of Birth
Medical Conditions
Medical Aid
Medical Aid Number
Allergies
Any Dietary Requirements?
Friend you'd like to be in the same room with?
How did you hear about the camp?
Terms and Conditions

I understand that a high standard of safety will be maintained on camp, and that a well equipped medical kit qill be available, and a first aider will be present. I hereby indemnify Clear-Ring and it's appointed leaders and Rocky Valley and it's appointed leaders against any loss, damage or injury, whether to property or person, which may be sustained by my child/ward for the duration on the camp, including conveyance to and from the venue. Should it be necessary for my child/ward to return home early due to medical reasons, disciplinary action, or for any other reason, I will assume transportation costs.
I agree to the Terms and Conditions as stipulated above.