Name: Year 10 Weekend Away
Start: 2018-11-30T17:45:00+11:00
End: 2018-12-02T16:30:00+11:00

Registration $80 per child*

One
Two
Three

Child details

Name*

First Last

Phone (if applicable)

Email (if applicable)

Any medical conditions or allergies?*

Yes
No

Child details

Name*

First Last

Phone (if applicable)

Email (if applicable)

Any medical conditions or allergies?*

Yes
No

Child details

Name*

First Last

Phone (if applicable)

Email (if applicable)

Any medical conditions or allergies?*

Yes
No

Parent/Caregiver Details

Name*

First Last

Phone*

Email*

I give my child permission to attend the Year 10 Weekend Away, to be driven by one of the youth leaders and to participate in all activities. My child know that they will need to follow the instructions of the leaders while away.*

Consent given

Any other relevant details or information about your child that would be useful to know

Total

$ 0.00

Year 10 Weekend Away