Registration

First Name

Last Name

Home Phone Number

Mobile Phone Number

E-mail Address

Street Address

City

Province/State

Postal/Zip Code

Gender

Male Female

Employment Status

Student Working Adult

How many times have you been to WCCCLC?

Age

17-18 19-24 25-30 31-34 35 and above

(must be 17 years of age by August 31, 2010)

Are you a Catholic?

Yes No

If you are a Catholic, which parish do you belong to?

 

Name

City

Language Preference (for group sharing)

English Cantonese

T-Shirt Size

S M L XL

What transportation method would you prefer to/from camp?

Carpool to/from a central location
Carpool from a friend of yours
Driving on my own

Special Requests

We will try our best to accommodate your requests.

Are you interested in helping out in any of the following areas? (You may choose more than one category)

Liturgy

Reader Altar Server

Music

Singing Instrument

Others

Photography Audio/Video Production Emcee First Aid Group Facilitator House Parent

WCCCLC would like to update you with the latest events or activities in the community. Please check this box if you do NOT want to receive updates about WCCCLC.

I have read the WCCCLC 2010 Privacy Policy, and I consent to the collection, use and disclosure of my personal information in accordance with the Privacy Policy.

I have read and accept the WCCCLC 2010 Harassment Policy.

* Registration fee is non-refundable