CHRIST THE KING PARISH, BURNSIDE
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Christ the King Life Teen Camp
Registration Details 2017
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Indicates required field
Parent / Carers Name
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First
Last
Parents/carers Mobile
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Parents/Carers Email
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Young Persons Name
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First
Last
The name of the Young Person Attending Lifeteen.
Young Persons Mobile
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Attending Young Persons Mobile phones that they can be sent reminders and updates on. If you don't have one just put in N/A
Date Of Birth
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Young Persons DOB (DD/MM/YYYY)
School Year Group
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9
10
11
12
13
Young Adult
Address
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Line 1
Line 2
City
State
Zip Code
Country
Young Persons Email
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Email address you would like to be contacted on with details if it is not the same as your parents.
T-Shirt Size
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Small
Medium
Large
XLarge
XXLArge
Comment
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