New Camper

Online enrolment form for new campers

Who is completing this form?

Mom

Dad

Other (specify)

How did you hear about Sugar Bay?

Past camper (Please name)

School Tour (Which school)

School presentation (which school)

Magazine (Please name)

TV (Which channel

Family information

First Parent (with whom the children live with)*

Relationship to child

First name

Surname

Tel (home)

Tel (work)

Tel (Mobile)*

E-mail*

Occupation

Employer

Fax

Postal address*

Residential address

Second Parent (or primary emergency contact)*

Relationship to child

First name

Surname

Tel (home)

Tel (work)

E-mail

Occupation

Employer

Postal address

Residential address

Fax

Alternative emergency contact (does not live with child)*

Relationship to child

First name

Surname

Tel (home)

Tel (work)

Tel (Mobile)

E-mail

Medical cover*

Policy name*

Policy number*

Name of principle member*

ID number of principle member*

Out of hospital expenses

I warrant that there will be sufficient funds in my medical aid to cover all medical expenses incurred while staying at Sugar Bay (doctor and any medicine fees)

OR: In event that my medical aid or travel insurance does not cover certain medical expenses, I authorize Sugar Bay to debit my Visa/ Master/ Diner's card with the relevant amount/

Please make sure you fill in ALL fields. Fields marked with a * are mandatory