Anthem Camp registration

Fill out the form below to register for Anthem Youth Camp 2010!

Payments for camp fees can be made in cash, EFT/bank deposit or cheque (made out to Australia for Christ Fellowship Ltd). Please contact the Anthem team if you require the bank deposit details.

First Name (required)

Surname (required)

Date of birth(required)
// (dd/mm/yyyy)

Address (required)

Phone/Mobile (required)

Your Email (required)

Parent's name (required)

Parent's contact number (required)

Allergies/Medication/Food requirements

Validation (required)
captcha

June 2nd, 2010
View more info in Youth groups
|