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Sign up for Mid Year Conference 2010

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.