Name

Gender

Home Phone

Mobile Phone

Address

Email

Campus

Course

Year

NOTE: Drivers will be needed to transport fellow campers between the city and campsite. If you are a fully licenced driver and will be able to take some passengers, please indicate this below.

I will require transport

I will not require transport

I am a fully licenced driver and will be able to take
              passengers with me

I am attending

If attending part time, check the times you will be present

Breakfast   Lunch    Dinner     Sleep

Monday

Tuesday

Wednesday

Thursday

Friday

Special dietary requirements
(if any)

Health issues
(if any)

Emergency contact person
and relationship

Contact details
of above

Comments

Cost of Mid Year Conference is $160 (or only $150 for first-timers),
payable on camp

Yes, this is my first Mid Year Conference!

You will receive a confirmation email within a week or two of signing up online. Full details about transport and required luggage will be sent a week before camp.