Burmese Christian Combined Camp
Sydney 2009

Registration Form
* Required fields
Personal Particulars
Name : *    
Gender : * Male  Female
Age Group : *
Marital Status : * Married Single
If Married:
Spouse's Name: (Please also register seperately)
Children accompanied:
   Name: Date Of Birth (dd/mm/yyyy)
1. M F
2. M F
3. M F
4. M F
5. M F
(Note: If more than 5 years old, please use separate form.)
 
Booking Details : *
Plesae tick all applicable:
Friday Saturday Sunday Monday
If you want to stay in Sydney before and/or after these dates, please specify the dates:
From:    To : - Before Camp (dd/mm/yyyy)
From:    To : - After Camp (dd/mm/yyyy)
Special Needs
Please specify diet requirements:
Require Transportation (within Sydney): Yes  No
If yes, please specify the pickup point or flight detail for those who are coming from other states.

Contact Details:
Street Address : *
Suburb : *
State : *
Postcode :
Home Phone : *
Office Phone:
Mobile:
Email: