Details and Indemnity

1
Details and Indemnity
(please detatch this part, complete both sides
and return no later then 28th March) Campers
Name(s)
Grade (info below not required if youve
given in a camp form in the past year and your
details havent changed) Home tel
Email Cell
Medical aid scheme
no Current Medication being taken Allergies
Dietary needs
The Ambassadors Easter Camp adventure returns
heres your chance to get away with friends, eat
good food, do random activities, go to workshops,
and engage with God! Venue Mizpah
campsite Arrive between 3pm and 4pm, Saturday
4th April Leave 2 pm, Wednesday 8th
April Transport Arrange your own lifts. Cost
R540 (R480 each for more than one family
member) Dont let the cost stop you coming
sponsorships available Payment Please reference
Ambies camp on all forms of payment! Cheques
payable to Christ-Church Kenilworth, EFTs to
Standard Bank, Claremont, Branch No  02510901,
A/c  Christ Church, St Johns Parish, A/c
071883924 Directions The MIZPAH Environmental
Education- and Conference Centre are situated in
the Kogelberg Nature Reserve, 8km from the N2
highway near to Grabouw. The road leading to the
Centre is tarred except for the last 2.5km. The
camp lies on the bank of the Kogelberg Dam.,
surrounded by mountains and beautiful indigenous
Fynbos vegetation. Take the N2 over Sir Lowrys
Pass. At the top, turn right at Eskom/ Mizpah
sign. What to bring Bedding Towel Cutlery
and crockery Swimming costume Torch Outdoor
clothes Bible and pens One box of your
favourite cereal
I understand that basic First Aid services will
be available and that adult supervision will be
provided. If illness or injury occurs, medical or
hospital care will be provided and I will be
notified as soon as possible. I will not hold
liable Christ Church Kenilworth, or any other
persons, specific or general bodies, affiliated
with this program. The medial information listed
overleaf is accurate, and my child has permission
to participate in all activities. I grant
permission for authorized medical personnel to
give treatment or diagnostic procedures to my
child as deemed necessary within a reasonable
degree of medical certainty. I understand that I
am financially responsible for any such medical
treatment and guarantee full payment to the
attending physicians and /or medical
institutions. Parent/Guardian name and
signature ______________________________
____________ Date________________________