CAMP PELICAN- July 5th-8th 2010

Camp Pelican is strictly limited to 80 places. Please provide the following information in order to register for the camp. You will be informed of your acceptance into Camp Pelican, or that you have been placed on the 'camp' waiting list by Thursday 25th February. If you have not been notified by Saturday 27th February please contact Pelican Productions at: pelican_productions@yahoo.com.au

If you do not receive a response confirming your registration, please re-submit your form.

PLEASE PROVIDE THE FOLLOWING CONTACT INFORMATION:

Full Name
Preferred Name
Name of Enrolling Parent
Age
School
School Year in 2010
Address
Address (cont.)
City
State
Post Code
Mobile (parent)
Work Phone (parent)
Home Phone (parent)

Email (parent)

This will be used to contact you

Any other comments

 

PLEASE CHOOSE 'Register for Camp' (click on) in the table below:



Copyright ©2010  (Pelican Productions. All rights reserved.)
Revised: February 7th 2010