Registration for Berean Bible-Presbyterian Church Camp 2015 7 December to 11 December (Monday - Friday) Pulai Springs Resort, Johor Bahru, West Malaysia

1) COACH TRANSPORT FEES: S$20 per adult; S$10 per child 2) CAMP FEES (for 4 nights’ accommodation and 4 x breakfast/lunch/dinner): Working Adult (member & non-member): Non-working/Part-time Working Adult (non-member): Studio Suite (single) – S$500 per person Studio Suite (single) – S$500 per person Various Suites (twin/triple sharing) – S$320 Various Suites (twin/triple sharing) – S$320 per person per person Children (with 50% church subsidy): Non-working/Part-time Working Adult (member & regular aged 4-11 (w/o extra bed) – S$65 per child worshipper) & Full-time school/tertiary/FEBC Student # & aged 4-11 (with extra bed) – S$110 per child NSF & Adults 70 years & above & Children > 4 years: Various Suites (twin/triple sharing) – S$160 per person (after 50% church subsidy) ‘Remarks’ cells below: For indicating requests, if any, related to rooms (e.g. baby cot or extra bed) etc, and for campers attending the camp part-time to indicate the dates of the nights that they will be staying.

Particulars of Campers Name Name Passport No. Passport No. Expiry Date Expiry Date Nationality Nationality NRIC/FIN No. NRIC/FIN No. Date of Birth Date of Birth Address Contact No. Contact No. Taking coach Yes / No * Taking coach Yes / No * Remarks Remarks Particulars of Camper’s Children Name Nationality Passport No. NRIC/FIN No. Expiry Date Date of Birth Taking coach Yes / No * Remarks Name Nationality Passport No. NRIC/FIN No. Expiry Date Date of Birth Taking coach Yes / No * Remarks Name Nationality Passport No. NRIC/FIN No. Expiry Date Date of Birth Taking coach Yes / No * Remarks Name Nationality Passport No. NRIC/FIN No. Expiry Date Date of Birth Taking coach Yes / No * Remarks Please ensure that all passports have at least 6 months of validity (i.e. expires after 12 Jun 2016) Please submit completed form and fees to the Camp Exco by 4 October 2015 (Sun).

Camper’s Signature: ______Date: ______

#FEBC students who are not serving with Berean BP Church. * Delete where inapplicable