Youth Week 2008 :: Apply Online

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Application Instructions

This application form is purely for reserving you place on Youth Week 2008, your place will however only be confirmed once we have received payment in full for your camp costs. Camp costs vary depending on the region you are coming from. For 2008, camp costs will not exceed R650 p/p (excluding transport costs). For a detailed cost breakdown, please read the About Youth Week page.

If you would like to use the regional transport arrangements, please indicate this in the form. Your regional representative will then be in contact with you. If you have any questions, please feel free to contact us.

We look forward to seeing you at Youth Week 2008!

Personal Details

Applicant's Full Name:

E-mail

Telephone Number:

Cell Phone Number:

Address:

Age:

Gender:

Male

Female

Language:

Church Denomination:

Regional Details

Region:

Transport:

I would like to make use of regional transport arrangements

Yes

Camp Preferences

T-Shirt Size:

(Early applications will get preference on sizes)

Plenary Choice 1:

Plenary Choice 2:

Plenary Choice 3:

Plenary Choice 4:

(Plenary choices will only be assigned once payment has been received in full)

Names of Friends you would like to share a room with:

(Friend 1)

(Friend 2)

Medical Details

Medical Aid Name:

Medical Aid Number:

Type of Plan:

Principal Member:

Principal Member Tel:

Youth Week Payment Details

Youth Week Bank Details:

YFC Training Centre

Standard Bank Krugersdorp

Branch Code: 015841

Account Number: 021347425

(proof of payment may be faxed or e-mailed to the central contact person)

Terms & Conditions

I, the applicant, agree to abide by the rules and regulations of Youth Week 2007 and will endeavor to be responsible in my participation of the programme during this event

Yes

I agree to the terms and conditions set forth in the Letter of Consent / Indemnity.

Yes

Important Notice!

Please note that each applicant will be required to bring an original signed indemnity form to the camp. If under the age of 21, the indemnity must be signed by a parent or legal guardian.

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