Personal Details

First Name:

Last Name:

Date of Birth:

arrow&v
arrow&v
arrow&v

Gender:

arrow&v

Email:

Mobile Number:

Local Church:

arrow&v

Emergency and Health

Emergency Contact Name:

Mobile Number:

Relationship:

Gluten Free

Dairy Free

Anything Else:

I am a smoker who intends to smoke at camp

At Camp

I am a musician and would like to serve on the worship team.

I would like to lead a mealtime devotion.

I would like to help lead a study group.

I would like to lead a study group.

Leave a Message:

Yes Please, contact me about future ARYC camps or other events.

© 2020 by The ARYC: Auckland Reformed Youth Committee.

Contact Us