First Name: |
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Last Name: |
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Gender: |
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Contact Number: |
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Address: |
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Corps/Centre: |
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Date of Birth: |
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Age: |
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Email: (delegate) |
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Confirm Email: (delegate) |
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Email of parent/guardian for delegates under 18 years of age |
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If no email for parent/guardian, please give parent/guardian contact number, preferably mobile |
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Emergency Contact |
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Name: |
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Relationship: |
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Contact Number: |
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Dietary Requirements (allergies only): |
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Medical conditions and allergies: |
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Tee shirt size: |
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Streams |
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Each camper will have the opportunity to participate in
one Major and a Minor over the course of
the camp. We will endeavour to accommodate
your first preference wherever possible. |
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Click here to read a short description of the Major and Minor
streams on offer |
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*Nominate two Major streams in order of preference
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First preference |
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Second preference |
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*What instrument will you be playing in this option? ie. drums, electric guitar, keyboard etc. |
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*Nominate two Minor streams in order of preference |
First preference |
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Second preference |
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*What instrument will you be playing in this option? ie. drums, electric guitar, keyboard etc. |
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Payment |
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Early bird price: $260 (gst inclusive) - when paid
before 31 October
Cost after 31 October is $285 (gst inclusive)
Cut-off date for registrations: Sunday 1 December 2019
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Please note: You will be required to pay $50 of your
registration fee if you cancel your registration at ANY
STAGE. You will be required to pay 50% of your
registration fee if you notify the Amplify team within
14 DAYS of camp that you are no longer attending. You
will be required to pay 100% of your registration
fee if you withdraw from camp on 13 JANUARY OR DURING
THE EVENT.
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Transport |
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Time flight arrives: |
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Flight Number: |
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Time flight departs: |
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(Please email flight details no later than Friday 13th December)
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Travel Subsidies
Travel subsidy (reimbursement) for transport option
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- $100 or 50% incl gst (whichever is lowest)
for those flying from Chch or Akld for flights
booked on or before 31 October
- $150 or 50% incl gst (whichever is lowest) for
those flying from elsewhere for flights booked
on or before 31 October
- $50 or 50% incl gst (whichever is lowest for
flights booked on or after 1 November
- Delegates travelling by any other means of
transport (road, rail) please contact the
Amplify team (amplify@nzf.salvationarmy.org) to
discuss reimbursement options.
For all travel, please note:
- Delegate must have attended Amplify to claim
reimbursement
- Reimbursement wil be processed after Amplify
- Reimbursement form will be available after
Amplify. Forms will be posted on www.amplifycamp.nz
- Copy of the receipt/e-ticket will be required
for reimbursement
- Any costs associated with changes to transport
arrangements,
including cancellations, will be the
delegates' responsibility.
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Disclaimer:
While every reasonable precaution will be taken to
ensure my safety, The Salvation Army will not be liable
for any injury, damage or loss to my person or property
and I will be responsible for any associated costs. I
authorise the event leaders to obtain any medical or
surgical treatment as may be required if is impractical
to communicate with me. I give permission for The
Salvation Army to use any photographs and video
recordings from the event which I may feature in, or any creative material I produce at Amplify. |
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Note:
If under 18 years of age, a printed copy of this form
must be signed by the delegate and their parent/guardian
confirming acceptance of the above disclaimer and posted
to Territorial Youth Department, P.O. Box 6015, Marion
Square, Wellington 6141 by Friday 6th December 2019.
Check
that
all
of
the
information
entered
above
is
correct
and
then
click
the
appropriate
button
below.
An
automated
reply
will
be
sent
to
you.
The
automated
reply
will
also
be
sent
to
the
parent/guardian
(for
delegates
under
18)
and
your
Corps
Officer/Centre
Manager.
All enquiries: amplify@salvationarmy.org.nz
Thanks for registering for Amplify, see you there. |
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