RISE UP YOUTH CAMP 2023 • My Church

DROP OFF / PICKUP: 2151 Tugalong Rd, Canyonleigh NSW 2577
(4PM Monday Drop Off | 10AM Thursday Pick Up)

RISE UP LOCATION: 2151 Tugalong Rd, Canyonleigh NSW 2577

WHAT TO BRING: Students must PACK THEIR OWN LUNCH for Monday - all other items to bring listed on Parents Letter- https://bit.ly/3dM8LxM

COST: $255

*Includes Food + accomodation + activities*

You can register for RISE UP YOUTH CAMP 2023 below! If you’d like more information regarding this camp however, please see our Parents Letter (https://bit.ly/3dM8LxM) or email us anytime (riseupcamp2023@gmail.com. We hope to see you at the Camp!

Date & Time

9 January, 2023 4:00 PM - 12 January, 2023 11:00 AM

450 out of 500 remaining tickets available

Type

Price

Quantity

Student Registration

Price
$255.00

Quantity
Leader Registration

Price
$255.00

Quantity
Pay it Forward (Half Ticket)

Price
$125.00

Quantity
Pay it Forward (Full Ticket)

Price
$255.00

Quantity

Enter discount code

Student Registration 0

Personal Information

First Name *

Date of Birth *

Email Address *

School Grade in 2023

Last Name *

Gender *

Registrant Mobile Number *

What church do you attend? *

Home Address

Home State

Home City

Home Postcode

Do you have any known allergies? *

Yes

If so, please specify..

Please specify any dietary requirements:

Emergency Contact

First Name *

Relation to Registrant *

Parent / Guardian Email Address

Last Name *

Emergency Contact Number *

Medical Information

Doctors Name *

Medicare Number *

Do you require medication? *

Doctors Number *

Position on Card *

Tip: This number can be found next to the name of the registrant on your medicare card

If so, provide relevant information

Leader Registration 0

Personal Information

First Name *

Date of Birth *

Email Address *

School Grade in 2023

Last Name *

Gender *

Registrant Mobile Number *

What church do you attend? *

Home Address

Home State

Home City

Home Postcode

Do you have any known allergies? *

Yes

If so, please specify..

Please specify any dietary requirements:

Emergency Contact

First Name *

Relation to Registrant *

Parent / Guardian Email Address

Last Name *

Emergency Contact Number *

Medical Information

Doctors Name *

Medicare Number *

Do you require medication? *

Doctors Number *

Position on Card *

Tip: This number can be found next to the name of the registrant on your medicare card

If so, provide relevant information

Pay it Forward (Half Ticket) 0

Personal Information

First Name *

Date of Birth *

Email Address *

School Grade in 2023

Last Name *

Gender *

Registrant Mobile Number *

What church do you attend? *

Home Address

Home State

Home City

Home Postcode

Do you have any known allergies? *

Yes

If so, please specify..

Please specify any dietary requirements:

Emergency Contact

First Name *

Relation to Registrant *

Parent / Guardian Email Address

Last Name *

Emergency Contact Number *

Medical Information

Doctors Name *

Medicare Number *

Do you require medication? *

Doctors Number *

Position on Card *

Tip: This number can be found next to the name of the registrant on your medicare card

If so, provide relevant information

Pay it Forward (Full Ticket) 0

Personal Information

First Name *

Date of Birth *

Email Address *

School Grade in 2023

Last Name *

Gender *

Registrant Mobile Number *

What church do you attend? *

Home Address

Home State

Home City

Home Postcode

Do you have any known allergies? *

Yes

If so, please specify..

Please specify any dietary requirements:

Emergency Contact

First Name *

Relation to Registrant *

Parent / Guardian Email Address

Last Name *

Emergency Contact Number *

Medical Information

Doctors Name *

Medicare Number *

Do you require medication? *

Doctors Number *

Position on Card *

Tip: This number can be found next to the name of the registrant on your medicare card

If so, provide relevant information