TBUC YOUTH LEADERSHIP CAMP EXPRESSION OF INTEREST FORM

Parent/Guardian Name

First Name

Last Name

Contact Email

Contact Telephone Number

Childs Name

First Name

Last Name

Childs Date of Birth

MM

DD

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Please tell us why you would like to be part of TBUC Youth Leadership Camp 2025 (SPACES ARE LIMITED YOU WILL BE CONTACTED IF YOUR PLACE IS SECURED)