Campers TEEN CAMPERS HOME, AWAY FROM HOME. TAKAPUNA SUMMER CAMP 2024 Sonshine Ranch, Clevedon // 21 - 25 January Campers Application | Takapuna Summer Camp ’24 "*" indicates required fields KIA ORA! Please complete the form below to apply as a camper for Takapuna Summer Camp 2024Personal InformationName* First Name Surname Date of birth* DD slash MM slash YYYY Email Address* Mobile*Are you* Male Female Home Address* Street Address Suburb City Postcode In 2024, which Year Group will you be a part of?* Year 9 Year 10 Year 11 Year 12 Year 13 In 2024, which school will you be attending?* What is your T-shirt size?*SmallMediumLargeXLXXLT-shirts are in NZ men's sizesDietary and Medical requirementsDo you have any allergies and/or dietary requirements?* Yes No Please select from below:* Vegetarian Vegan Gluten Free / Coeliac Dairy free / Lactose intolerance Nut allergy Seafood allergy Animals Other Select All(Optional) Please explain your dietary requirements/allergies in detail if needed:If other, please indicate:* Do you have any medical needs? (including any physical restrictions)* Yes No What medical needs do you have?*Medication & dosages*Type "Not Applicable" if no medication is required. This question is to comply with our health and safety policy at camp. The responsibility of timely consumption of one's own medication/s rests with the camper. Emergency Contact / Parent ContactName* First Name Surname What is your relationship with this person?* Email Mobile*ConsentConsent* I have read the privacy statement and wish to continue with my registration: By completing this form, I consent to my information being stored and used for the pastoral and administrative purposes of the Core Team. I understand that my data will be held securely and that I have a right to access my information. I understand that when this information is no longer required for this purpose, my data will be disposed of according to the Public Records Act 2005 (PRA).*Consent* I give permission to take photographs and / or video of my teen. I grant full rights to use the images resulting from the photography/video filming, and any reproductions or adaptations of the images for fundraising, and/or promotions that will help support the aims and goals of Takapuna Catholic Youth.*Conset* My parent signing & dating below indicates that I have read and understand the above.*Full Name* PaymentWe extend our gratitude to the parish of St Joseph's Takapuna, and our generous donors / fundraising champions who help subsidize Takapuna Summer Camp 2024. To cover additional costs, the price for each camper is $230. A $50 non-refundable deposit is due to the Core Team confirming reservation of spots.I have a PROMO CODE* Yes, I have a promo code No, I do not have a promo code Promo Code Sponsored registration fees* Carmel College Registration Rosmini College Registration Credit Card*Card Details Cardholder Name Camp Fees* Deposit (pay balance later) Full Registration Total Please transfer your $50 DEPOSIT for Takapuna Summer Camp to the following account | SJT Youth: 12-3430-0302627-00 | Reference: SC24FirstName | Example: SC24JohnPlease note, the deadline to pay your remaining camp fees is a week after you submit your registration.Please transfer your $230 FULL PAYMENT for Takapuna Summer Camp to the following account | SJT Youth: 12-3430-0302627-00 | Reference: SC24FirstName | Example: SC24JohnPlease note, the deadline to pay your remaining camp fees is a week after you submit your registration.We don’t ever want costs to be a barrier for anyone. So please don’t let this stop you from coming along. We have a sponsoring programme for those needing financial aid – For more on this, please contact us at youth@stjoseph.org.nz or on Instagram (@sjtyouth) Δ