Upcoming Events Paid event Name* First Last Age* School Year* Parent Name Parent phone Email* Phone of camper* Friends (for rooming) Medicare Number* Medical InformationPlease list any medical conditions or allergies, and any medication or special care they require.Dietary RestrictionsPlease indicate foods or beverages your child should not consume:Event Price Price: Please pay either by cheque made out to 'Green Point Baptist Church' or by direct deposit: BSB 704922 A/C 100011493 Permission* I give permission for my child to attend Green Point Baptist Church’s “Camp X” at The Youthworks site in Port Hacking from December 1-3 2017, travelling in the bus or in cars of leaders & volunteers (no L or P-plate drivers). I understand that all care will be taken for the safety of my child, and will not hold any leader, paid or voluntary, or GPBC, responsible for any accident or injury. I authorise leaders to seek any medical attention if necessary for my child. I also permit photos to be taken of my child for promotional reasons only. Signature* Free event Name* First Last Email* Phone** House selection*Plain Gingerbread - $30Chocolate - $35Gluten Free - $35Session Time* 5:30 - 7:00pm 7:30 - 9:00pm Untitled First Choice Second Choice Third Choice