Camp Name and Date:

Name:

Address:

Postcode:

Phone:

Date of Birth:

School: Year:

I enclose:

($30 deposit or full fees)

Signed:

Parent or Guardian

Anythin else we should be aware of (ie medical conditions, meals):

Please PRINT this and send to Camp Secretary.
Copy extra forms for your friends.
Cheques payable to SCRIPTURE UNION CAMP CONQUEROR