Teen Camp 2026

Camper Details

Teen Camp Registration

Price: $250.00

First Name

Last Name

Address

Address Line 1

Address Line 2

City

Post Code

Date of Birth

Gender

Male

Female

Who would your teen like to share a room with?

Will your teen be bringing a device to camp? This will help us to ensure that devices are cared for adequately.

What is your home church (if any)

There will be opportunities for your child to respond to the spiritual aspect of the Teen Camp program. By ticking this box and continuing this application, you understand that your details (the parent/guardian) will be shared with the relevant pastor/chaplain for follow up. At that point you can choose to accept or decline.

Parent/Guardian Details

First Name

Last Name

Phone

Dietary Requirements

All of the food provided will be vegetarian. If the camper requires extra dietary considerations, please tick below:

Dairy Free ($5 extra)

Gluten Free ($5 extra)

Vegan ($5 extra)

Does the camper have any food allergies or other requirements?

Yes

If yes, please list here:

Medical Information

If any of the above selected, please give more information here.

Is the camper able to swim 25m competently?

I assume full responsibility for my child’s health, and have provided all information necessary for their care during Camp. I declare that all statements on this form are true and accurate and will inform the leaders if there are any changes. I understand that it is a condition of participation to accurately complete this health record.

Guardian Consent

I declare that I have read the Rego Info Pack for my teen’s safe participation in Teen Camp (Mt Hutt Retreat) and will endeavour to ensure that they have all the items listed. I have been informed of the nature of the activities and understand that there may be an element of risk involved. I acknowledge that my teen may refuse to participate in any part of the activities if they feel apprehensive about them (if this does not endanger themselves or other participants and leaders). I agree that if they suffer injury or illness, the organisers can arrange medical treatment and emergency evacuation services as the organisers deem necessary for their safety and wellbeing at no expense to the Conference.

I understand that photographs will be taken and may be used for promotional purposes at the discretion of the South New Zealand Conference Youth Department. I understand that if I do not wish for images of my child to be used for these purposes, I must contact Pr James Mello prior to the start of Camp and supply him with a photo of my child for identification purposes.

Payment Details

If your teen is being sponsored by their local church or school, please enter the sponsorship code from their pastor/chaplain here:

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