25th-28th March in Carhue, Bandon Speaker: Dave Stevens

APPLY NOW!
(BLOCK LETTERS PLEASE)
A separate brochure for
Senior camp is available on
request.
Forms can also be
downloaded from
munsterchristiancamps.com
One application form for each camper
NAME:
_____________________________________
ADDRESS: _____________________________________
_____________________________________
_____________________________________
MCC follows the recognised
Children First National Guidelines. MCC Policy Statement
is available on request
PARENT/GUARDIAN EMAIL (print clearly):
______________________________________________
HOME PHONE: __________________________________
PARENTS MOBILE: ______________________________
CAMPERS MOBILE:______________________________
DATE OF BIRTH:
(dd/mm/yy)
AGE ON 22nd March 2016: _________yrs ________mths
SCHOOL / COLLEGE: _____________________________
SCHOOL YEAR _________________________
2 FRIENDS YOU’D LIKE TO SHARE ROOM WITH:
________________________________________________
ATTENDING Tick one
___ Intermediate Camp (12-15 yrs, 1st—3rd yr)
___ Junior Camp (4th-6th Class Primary)
FEE €60 to be paid prior to camp
I have enclosed € ___________
Or deposit of €20 accepted, but full fees due by
11th March to confirm booking.
Please make cheques payable to “MCC”
and forward to Ruth Smyth
DO NOT POST CASH!
Reductions available for 3rd and
subsequent family members
DON’T FORGET MEDICAL DETAILS!
see reverse
For
more
info,
contact
Ruth at:
023 -8841771
or 086 - 3223651
25th-28th Marc
h
in Carhue, Ban
don
Speaker:
Dave Stevens
Leader: Paul Le
vis
22nd-25th March
in Carhue, Bandon
Speaker: Br yce Carlaw
Leader : Dave Jeffers
“The aim of Munster Christian
Camps is to provide quality
camps for the youth of
Munster. The purpose of these
activities is to lead young
people to a personal
Send
understanding of God’s plan
forms to:
for their lives, not only through
Bible teaching and discussion,
MCC Committee: Ivor & Carol
Ruth Smyth
but also in other activities. We
Bateman, Rob Bateman, Tom &
“Alpenrose”
aim to show that the Lord Jesus
Grace Campbell, Bryce &
Spring Lane
can be a part of every aspect
Carolyn Carlaw, Dave & Olive
Bandon
of their lives. God’s Word can
Jeffers, Tim Kingston, Paul Levis,
equip our young people to
Co. Cork
Sharon Levis, Tim Levis, Seth
become active, helpful
Lewis, Gordon & Ruth Smyth,
members of society, and it is
Jessie VanSchepen.
our purpose to help them come
to a living, personal faith in the CAMP RULES Campers are expected to attend all camp activities. Campers are not
Lord Jesus Christ that will to leave camp premises. Smoking, alcohol, and drugs are not allowed at camp. Campremain when all else fails.” ers must remain in their sleeping accommodation during the hours laid down. At all
times, sleeping and wash areas for members of the opposite sex are out of bounds.
MEDICAL DETAILS
DOCTOR’S NAME: _________________________________
mp
Ca
er ng
mm mi
co n !
Su
s
i
o
so
DOCTOR’S PHONE NO: ____________________________
PARENT’S PHONE NO: _____________________________
EMERGENCY MOBILE NO: ___________________________
Do you have any medical conditions (such as allergies,
asthma, or any special needs)?
Yes ____ No ____
(If the answer is yes, a detailed medical form will be forwarded
to you with travel letter for completion and immediate return
to Ruth Smyth)
July
rd
ior:
Sen -July 3
th
e 26Inter: 9th
Jun
d—
s
d ar
alen r
ur C umme
S
k Yo
:
Mar MCC 2016
For amps
C
Please tick if you require a special diet: coeliac _ diabetic _
other (specify) ___________________
Have you been vaccinated against tetanus?
If yes, please give an approximate date: __________________
(dd/mm/yy)
3r
CAMPER I, __________________________
CAMPER’S SIGNATURE
have read, understood and agree to adhere to
the camp rules.
CAMPERS UNDER 18 must have the following
completed by a PARENT or GUARDIAN 

I give permission for this camper:
to attend camp
Yes ____
No ____
to swim
Yes ____
No ____
for paracetamol, cough medicine, etc. to be
administered if required.
Yes ____
No ____
to travel in privately owned vehicle/organized
transport
Yes ____
No ____
Photographs will be taken at camp and may be used in
official publicity. If you would rather your child was not
included, please let us know.
_________________________________________
NAME OF PARENT/GUARDIAN (BLOCK CAPITALS)
_________________________________________
SIGNATURE OF PARENT/GUARDIAN & DATE