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bysa un a sha med summer camp 12 - 16 dec barkley west - kimberley age 14-20 i r650 indemnity i, the applicant camper, and my parent/guardian, do hereby indemnify the baptist union, and baptist department, baptist youth of south africa, or any of their officials, employees or representatives against any loss, damage or injury caused to any person or property for whatever reason or cause, either directly or indirectly, at or on route to and from summer camp, and not to regard the baptist union responsible for any such event related to the above. i promise to make normal precautions, especially in regard to sport and recreational activities, for the protection of both person and property. camper signature: parent/guardian signature: (if under 18) date: please note: do not fax application forms send application forms to: summer camp p.o.box 25596 monument park pretoria 0105 do not send cash in post cheques and postal orders made payable to baptist youth of south africa direct deposits can be made the full fees of r650 must accompany the application form if you want a camp t-shirt, include an additional r80 and tick your size on the reverse of this form for i am not ashamed of the gospel, because it is the power of god that brings salvation to everyone who believes. romans 1:16 or email [email protected]

Unashamed a4 form 2

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Page 1: Unashamed a4 form 2

bysa

unashamedsummer camp

12-16 decbarkley west - kimberley

age 14-20 i r650

indemnityi, the applicant camper, and my parent/guardian, do hereby

indemnify the baptist union, and baptist department,

baptist youth of south africa, or any of their officials,

employees or representatives against any loss, damage

or injury caused to any person or property for whatever

reason or cause, either directly or indirectly, at or on

route to and from summer camp, and not to regard the

baptist union responsible for any such event related to

the above. i promise to make normal precautions,

especially in regard to sport and recreational activities,

for the protection of both person and property.

camper signature:

parent/guardian signature:

(if under 18)

date:

please note:do not fax application forms

send application forms to:

summer camp

p.o.box 25596

monument park

pretoria 0105

do not send cash in post

cheques and postal orders made payable to baptist youth of south africa

direct deposits can be made

the full fees of r650 must accompany the application form

if you want a camp t-shirt, include an additional r80 and tick your size on the

reverse of this formfor i am not ashamed of the gospel,

because it is the power of god that brings salvation to everyone who believes.

romans 1:16

or email

[email protected]

Page 2: Unashamed a4 form 2

name:

surname:

age: gender: male female

single/married:

contact number:

postal address:

province:

medical problems/allergies:

parents names:

parents contact no:

the church you are from:

yes, i would like a t-shirt at a cost of r80

t-shirt size: s m l xl xxl xxxl

i will need transport from:

cape town - r790 gauteng/pretoria - r500

durban - r880 r/bay & margate - r930

the price of summer camp is r650

(excluding the transport & t-shirt)

please hand in money and forms to your youth leader.

cheques must be payable to the baptist youth of south africa.

money and forms must be in the office by 09 november 2015.

once camp is full no further forms will be accepted.

bank details:baptist youth of sa

standard bank

westgate branch

branch code: 016641

acc number: 401444988

reference: s/c (church name)’

what to bring:bible, notebook, pen, towel,

bedding, swimming costume,

eating utensils, and

sunscreen.

what not to bring:alcohol, fireworks,

smokes or drugs

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