Personal Details
First Name:
Last Name:
Date of Birth:
Gender:
Email:
Mobile Number:
Local Church:
Emergency and Health
Emergency Contact Name:
Mobile Number:
Emergency Contact Relation:
Dietary Requirements:
Gluten Free
Dairy Free
Other
I agree to email arycnz@gmail.com to confirm and specify these dietary requirements.
Medical / Health:
I am a smoker / vaper who intends to smoke / vape at camp
I am over 18 and agree to abide by the restrictions imposed by the committee (see camp rules).
At Camp
I am a musician and would like to serve on the worship team.
I have my full driver's license and a car at camp, and am willing to drive other campers to camp activities
I'm willing to lead a mealtime devotion.
I'm willing to help lead a study group.
I'm willing to lead a study group.
Leave a Message:
Yes, please contact me about future ARYC camps or other events.
You need to fill out all required information.
