If you are a leader chick here BOP Waikato Camp Registration This form must be filled out for each child by a parent/caregiver. Step 1 of 5 - Camper Details 20% Camper DetailsOne child per registration Camper Name(Required) First Last Camper Birth Date(Required) DD slash MM slash YYYY Age at time of camp(Required)Which Rally does this camper attend?(Required)Please SelectManurewa BoysManurewa GirlsManawaruWhitiora SeniorWhitiora JuniorRaleigh StreetTe AwamutuGreerton BoysGreerton GirlsOrchardFenton Park Bible ChurchPaengaroaOpotikiNew PlymouthRoseveltIs your child a cadet leader in training?YesNoGender(Required)Please SelectMaleFemale Health & Safety DetailsDoes your child have any food allergies?(Required) No Gluten-Free Dairy Free Other Please give more details about your child's food allergy(Required)Are there any medical, physical (including allergies), emotional or behavioral (including disabilities) that may affect your child's experience at our camp?(Required)Please selectYesNoPlease give more information(Required)This is to assist us in providing the best camp experience for your child. Is your child bringing any medications to camp?(Required)Including inhalers and epi-pensPlease selectYesNoIf your child id bring an eip-pen or asthma inhaler where will this be locatedIn the case of an emergency we want to ensure your child receives prompt care, if they are not going to carry these items on them we request the be given to the registered first aider who will be available to respond in needed. By completing this form you are giving permission for these to be administer if needed. My child will carry this on them at all timesThe first aid person will retain this for the duration of campPlease list all other medications(Required) Add RemoveWho will be responsible for administering thesee.g. Rally leader, first aider Is there anything else we should know to ensure your child is well cared for?i.e. custody arrangements, special needs, fears, restraining orders particularly people who are not allowed contact with your child etc. Parent/Caregiver DetailsName(Required) First Last Address(Required) Street Address City Post Code Phone(Required)Email(Required)Correspondence regarding camp will be sent to this account Emergency Contact(Required)I will be available to be contacted in the event of an emergency for the duration of the campI would like to provide an alternative emergency contact for my childConsent(Required)In case of emergency, I give permission for my child to receive medical treatment. Medical treatment consentAlternative Emergency ContactName(Required) First Last Phone(Required)Relationship to child(Required) PermissionsPlease tick all that applyParticipationI give consent for my child to participate in all camp activities Camp ParticipationPanadolI give consent for Rally leaders to give Panadol to my child if required to the manufacturers specifications PanadolEmergencyIn the case of an emergency where I or my nominated emergency contact can not be contacted I give permission for the BOP Rallies to secure proper treatment for my child as deemed necessary. In case of emergencyMediaI consent to photos and videos of my child to be taken at camp for use withing the context of NZ Rally or promotion at churches. Media PaymentI would like to pay(Required)Online via credit/debit cardBank transferI have made arrangements with my local Rally regarding paymentCamp Registration Price: Camp Registration Price: Camp Registration Price: Camp Registration Price: Camp Registration Price: Online processing feeOnline processing fee for credit and debit card payments Price: Total Bank Transfer Agreement(Required)Full amount for camp will be invoiced to you and by ticking the above box you acknowledge your obligation to pay in full by the nominated date. In event of sickness or extenuating circumstances please contact ad***@*********rg.nz I agree to pay for camp in full by 12th March 2026Credit Card(Required) ”
