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artios
youth.

camp
2026

JULY 16-19

FAIRBRIDGE VILLAGE

UNDER 18

OVER 18

UNDER 18 REGISTRATION

Child 1 First Name*

Child 1 Last Name*

Child 1 Date of Birth*

Day

Month

Year

Child 1 Allergies & Medical Requirements

Are you registering more than one child?

*Note: Parent details will be used as emergency contact details

Parents First name*

Parents Last name*

Relationship to Child*

Email*

Phone

Additional Notes

Are you inviting anyone from outside of PPA?

Yes

I have read and agree with everything stated in the camp overview.

I have transferred the camp fee to ensure my registration is confirmed

OVER 18 REGISTRATION

First name*

Last name*

Email*

Phone*

Date of Birth*

Day

Month

Year

Allergies & Medical Requirements

Emergency Contact Details:

Full Name*

Emergency Contact Number*

Additional Notes

Are you inviting anyone else?

Yes

I have read and agree with everything stated in the Camp Information

I have transferred the Camp fee to ensure my registration is confirmed

Perth
Pentecostal
Assembly

+61 (0) 467786163

Locations

contact@ppachurch.au

Thanks for submitting!

Get in touch

©2026 by Perth Pentecostal Assembly

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