2019 Ankara Family Camp

Upon completion of this form, payment is due no later than 02/06/2019 or your registration wont be valid. Payment options below.

For bookings with multiple people please re-submit the form for each individual attending.

E-Mail: thrivemedia.adl@gmail.com for further inquiries.

Payment options
Bank Transfer:
Please record and send the required amount to
BSB: 06 5167
ACC: 1041 1557
Name: VECASA
Description: Name of attendee

Cash:
In person to Stanley Tran (stanley_tran97@hotmail.com)

Registration Type

Full - $90pp

Concession - $60pp

Day Pass - $25pp per day (incl. meals)

Kids under 5 - Free

Payment Method

Bank Transfer: BSB: 06 5167 ACC: 1041 1557 Name: VECASA OR Cash: In person to Stanley Tran (stanley_tran97@hotmail.com)

Cash

Bank Transfer

Full Name

E-Mail

Mobile

Gender

Male

Female

Home Address

Dietary, Allergies or Medical Requirements

Please specify: any dietary requirements, allergies or medications you take and if you have asthma, a heart condition, or any other illness which needs medical attention. If none, please write none

Accept Terms & Conditions

I understand that in the event of an emergency or accident, that every reasonable effort will be made to contact me immediately, however if I am not available, I authorise for suitable emergency medical care as needed which also may result in calling an ambulance.

I am aware of the dangers and risks in participating in the activity, including physical injury or other consequences rising resulting from activities at the Ankara Family Camp 2019. And I will I bring all necessary medication.

Being fully informed as to the above stated conditions, I hereby consent to attend the Ankara Family Camp.

Emergency Contact Name

If under 18, enter your Parent/Guardians details

Emergency Contact Phone

If under 18, enter your Parent/Guardians details

Emergency Contact Relationship

Confirmation

I confirm I am over the age of 18 or have the consent of my parent/guardian to attend the Ankara Family Camp 2019