2010 Family Camp |
Our 21st weekend camp at Roses Gap Recreation Reserve in the Grampians for deaf/hearing-impaired children and their families. |
15, 16 and 17 October 2010 |
COST (inclusive of GST) $77 per family. $33 Grandparents if sharing hut.
MEMBERSHIP For insurance purposes, everyone who attends the camp has to be a member of the Wimmera Hearing Society. The cost is $10.00 per family, $5.00 per pensioner, student and single people. $25.00 Helpers & single people. |
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Family Name: ....................................................................................................................... Address: .......................................................................................................................
Tel: .......................................... E-mail: ........................................................... Parents/Guardians Names: ............................................................................................... Children’s Names Hearing Impaired Age ............................................................... Yes / No ...................... ............................................................... Yes / No ...................... ............................................................... Yes / No ...................... ............................................................... Yes / No ..................... Please state if you or a family member has any special diet, and provide details: .......................................................................................................................................................... CAMP HELPERS: (Family members over 13yrs who would like to help can also fill in this section) Name: .......................................................................................................………………………….. Address: ..................................................... Tel: ..........................…… I would prefer to help in the following areas:
Leader of a children’s group Yes / No
Helper with a children’s group Yes / No
Age of children preferred: 0-5 yrs 5-10 yrs 10 yrs + Please return to: Mrs Sue Ward, PO Box 837, Horsham, 3402. Fax (03) 5382 7502 I would appreciate your registration form being returned as soon as possible please.
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