ATSIM Camp – wa.bluevineyardevents.com

2024 ATSIM Camp

Application Primary Contact

These details must be completed by an adult responsible for this application – you will be the Primary Contact

First Name

Last Name

Email

Phone/Mobile

Attendee Details

Please fill out the details for EACH attendee included on your application, including yourself if you are planning to attend.

Attendee 1 First Name

Attendee 1 Last Name

Attendee 1 Email

Attendee 1 Date of Birth

Attendee 1 Phone Number

Add another attendee

Yes

No

Attendee 2 First Name

Attendee 2 Last Name

Attendee 2 Email

Attendee 2 Date of Birth

Attendee 2 Phone Number

Add another attendee

Yes

No

Attendee 3 First Name

Attendee 3 Last Name

Attendee 3 Email

Attendee 3 Date of Birth

Attendee 3 Phone Number

Add another attendee

Yes

No

Attendee 4 First Name

Attendee 4 Last Name

Attendee 4 Email

Attendee 4 Date of Birth

Attendee 4 Phone Number

Add another attendee

Yes

No

Attendee 5 First Name

Attendee 5 Last Name

Attendee 5 Email

Attendee 5 Phone Number

Attendee 5 Date of Birth

Add another attendee

Yes

No

Attendee 6 First Name

Attendee 6 Last Name

Attendee 6 Email

Attendee 6 Phone Number

Attendee 6 Date of Birth

Add another attendee

Yes

No

Attendee 7 First Name

Attendee 7 Last Name

Attendee 7 Email

Attendee 7 Phone Number

Attendee 7 Date of Birth

Add another attendee

Yes

No

Attendee 8 First Name

Attendee 8 Last Name

Attendee 8 Email

Attendee 8 Phone Number

Attendee 8 Date of Birth

Add another attendee

Yes

No

Attendee 9 First Name

Attendee 9 Last Name

Attendee 9 Email

Attendee 9 Phone Number

Attendee 9 Date of Birth

Add another attendee

Yes

No

Attendee 10 First Name

Attendee 10 Last Name

Attendee 10 Email

Attendee 10 Phone Number

Attendee 10 Date of Birth

Ticket Selection & Payment

How will you make payment?

Who should the invoice be addressed to?

What is their email address?

Adult – Accommodation & Food – 20 available

Price: $85

How many adults are attending?

Child – Accommodation & Food – 20 available

Price: $65

How many children are attending?

No payment items has been selected yet

Pay with Card (Stripe)