Name Mailing Address Gender Birthday Email address Telephone Number (H) (M)

1. Easter Camp 2010 Registration Form Attendance Dates Name Mailing Address Gender Birthday Email address Telephone Number (H) (M) Dietary or Special requirements In event of emergencies, contact details of Next of Kin (UK if possible) Name and Relationship Address Contact Number Please tick the dates of attendance and meals/accommodation required. Cheques are to be made payable to: “New Life BP Church” Please hand completed Registration form and Cash payments to: Sis Grace Lim (Camp Commander) Payment and registration form to be submitted by Sunday 28th March 2010 For those applying from outside London, please complete the registration form and email to admin@newlifebpc.org.uk Fees can be paid on the 1st day of camp. Postal applicationsto: Easter Camp 2010 c/o New Life BP Church, 44 Salusbury Road London NW6 6NN FOR THOSE UNDER GUARDIAN SUPERVISION (under 18) As Guardian of (Name of student), I hereby give permission for the named student to participate in the “Easter Camp 2008” to be held at New Life Bible-Presbyterian Church (London) from the 2nd – 5th April 2010. ___________________________________ (Name and Signature of Guardian) ____________________ (Date signed)