Application Form

Personal Information

First Name (required)

Surname (required)

Address (required)

Post code and city (required)

Country (required)

Email (required)

Phone number

Date of birth (required)

Nationality (required)

Passport number (required)

Profession or main course of study

I speak English:
fluentmoderatelya little bitnot at all

I speak French:
fluentmoderatelya little bitnot at all

I speak another language:

While at camp

Would you like to help organise an activity be it music, arts, sport or something else?

Would you like to help as:
First ReaderSecond ReaderSunday School teacher

In order to welcome you in the best possible way, the committee would be grateful if you could
honestly answer the following questions:

Do you have any physical difficulties?
yesno

Do you have any mental difficulties?
yesno

Do you have any special dietary requests? (e.g. vegetarian meals)
yesno

If you answered ‘yes’ to any of the previous questions, please explain briefly

A Christian Science practitioner and nurse will be present for the duration of camp. If, in an emergency, you would prefer to contact a different practitioner please give their name and contact details:

How did you hear about Arc-en-Ciel?

Please describe in a few words what this year's camp theme means to you

Terms and conditions

Please provide the name of someone to be contacted in an emergency (parent or legal guardian for participants under 18):

First Name (required)

Surname (required)

Address (required)

Post code and city (required)

Country (required)

Email (required)

Phone number (required)

The rules of the camp require that all participants abstain from drugs, alcohol, tobacco and extramarital sex. Thank you in advance for your obedience to these rules!

The price of the camp is CHF 700.-(Swiss Francs) if you register before June 1st, 2022 and CHF 760.-(Swiss Francs)if you register after June 1st, 2022. (This amount is subsidised and doesn't cover all the costs. Thank you for any extra support.)
You can pay the fee either by direct transfer or you can bring the cash to the camp. For direct transfer, we recommend you use Transferwise for better transaction fees. Cheques are not accepted. If you have difficulty paying the full amount please let us know so that together we can find a solution.

How would you or your legal representative if under 18 like to receive information regarding your participation in the camp?
EmailBy post

Do you allow us to use any pictures and videos in which you may appear in during the camp for marketing purposes e.g Facebook, Instagram, our website, flyers, and others?
YesNo

Do you allow us to use pictures and videos that you may take during the camp for marketing purposes e.g Facebook, Instagram, our website, flyers, and others?
YesNo

I herewith confirm that all given information is correct and that I will obey the rules of the camp.

We look forward to welcoming you to Arc-en-Ciel!

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