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Online Registration

Complete the following form to register for Crave 2009. Your payment for this event must be received in order to confirm your booking.

This form must be completed by the participant only. A separate form needs to be completed for each participant.

First Name: Surname: Gender:
Date of Birth:
Address:
Town: State: Postcode:
Phone:
Email:

Do you go to church? Whereabouts?
   
Do you give us permission to include all of these details on a camp address list?
   
Do you give permission to appear in camp photos and videos for use in Lutheran Churches, Warrambui and TPM promotions?
   
Would you like a 2-share room? (Extra cost of $24)
   

Please indicate any medical condition or dietary requirements that we should be aware of:

Any other comments or information that we should be aware of:

THIS SECTION MUST BE COMPLETED BY THE PARTICIPANT:

I, the undersigned, hereby declare that Warrambui and the Lutheran Church of Australia, its officers and servants are free from all responsibility whatsoever for any accidents or illness resulting from my participation in this event.

Tick here to indicate that you have understood this declaration:

Type your full name here: (participant)


Please select your intended payment method:
Credit Card
Direct Debit
(Payment options will be displayed on the next screen)    

Type this verfication code verification image, type it in the box in the box below: