ATSIM National Camp – auc.bluevineyardevents.com

Your details as the person submitting the registration

This is the person responsible for registration and billing and may or may not be attending the event.

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Phone/Mobile

How many people will you be registering to attend camp?

Family Details

Please share names and ages for all attendees you will be bringing including yourself.

First Name	Last Name	Date of Birth

Accommodation and Meal Options

Please select which type of option you would like to book: (UNITS are limited and will be allocated on a needs basis as applications are received)

Ensuite Unit & Meals (All Inclusive) BOOKED OUT

Basic Unit & Meals (All Inclusive) BOOKED OUT

Caravan & Camping

Day Visitor

Ensuite Unit & Meals Adult (13+)

Ensuite Unit & Meals Child (6-12yrs)

Ensuite Unit & Meals Child (3-5yrs)

Basic Unit & Meals Adult (13+)

Basic Unit & Meals Child (6-12yrs)

Basic Unit & Meals Child (3-5yrs)

Caravan – Select how many people

Camping – Select how many people

Would you like to purchase meals? (For those in caravans, camping and day visitors only)

Yes

Please select your meal option:

All Meals (Wednesday Dinner to Sunday Breakfast)

Lunches and Dinners (7 Meals)

Lunches (3 Meals)

Saturday Lunch

All Meals Adults 13yrs +

All Meals Child 7-12yrs

All Meals Child 3-6yrs

Lunches and Dinners Adults 13yrs+

Lunches and Dinners Child 7-12yrs

Lunches and Dinners Child 3-6yrs

Lunches Adult 13yrs+

Lunches Child 7-12yrs

Lunches Child 3-6yrs

Saturday Lunch Adult 13yrs+

Saturday Lunch Child 7-12yrs

Saturday Lunch Child 3-6yrs

No payment items has been selected yet

Payment Options

Please choose your payment method

Centrepay – Please complete a Centrepay deduction form at your nearest Centrelink office, or online. You will need to give them our Reference Number: CRN 555 067 693 V. You will then be able to allocate how much you wish to be paid weekly/fortnightly to pay off your Camp fees.

Direct Debit – If you are making an online payment, be sure to include your full name and the word “camp” in the description. Westpac Bank, SDA Church t/a ATSIM BSB: 033 382 ACC: 228 377

Credit Card – Please pay below.

Pay with Card (Stripe)

Additional Information

Special Requests/Considerations for accommodations with family and friends:

Food Allergies:

Emergency contact information

In case something happens and someone offsite needs to be contacted.

First Name

Last Name

Emergency contact number

Terms and Conditions

Please read and check each box before submitting the form.

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AUC ATSIM is collecting this information to assist with planning a successful and safe event. To this end, the information you provide will be shared with Adsafe, the Child and Vulnerable Person Protection service for the Seventh-day Adventist Church, who will assist the Conference with the assessment of safety risks around a person’s attendance.

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In case of an emergency I give my consent for an ambulance to be called.

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Photos and videos will be taken during the camp for promotional use and will be used in our Good News magazine, website and social media. Please let us know if you have any questions about this.

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The ATSIM National Camp is a Seventh-day Adventist event and we request everyone in attendance to follow our Christian values. There will be no drinking, smoking or offensive language used during the camp.

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I wish for my child to participate in the activities planned for their age level at the National ATSIM Camp 2025. I understand there are some risks involved and agree that my child will take the time to learn safety techniques and the proper use and limitations of any equipment. I acknowledge that my child may refuse to participate in any part of the activity if they feel apprehensive about the activity (if this does not endanger myself or the other participants and leaders).