Please note that (*) is required information & the form will not send if not filled in.

Naam / Name (*)
Van / Surname (*)
Werk nr / Work number (*)
Huis nr / Home number (*)
Selfoon / Cell nr (*)
E-pos / Email (*)
Organisasie Naam
Organization Name(*)
Doel van kamp
Aim of camp (*)
Kamp beskrywing
Camp description (*)
Start date of camp (*)
Time of Arrival (*)
First meal required after
arrival (*) Required

End date of camp (*)
Time of Departure (*)
Last meal required before
departure (*) Required

Please put "none" if not applicable in
any of the below 3 questions

Aantal volw
Number of adults (*)
Aantal kinders
Number of children (*)
Indien kinders, Ouerderdomme /
If children, Age (*)
Hoeveel wil jy spandeer /
How much do you want to spend (*)
Dienste benodig / Services needed

Catering - Choose 1 - Important
Menu 2
Please Indicate if applicable
Halaal menu
Prefered Venue
It is important that you indicate the
Following Information Please
How did you find us
What words did you search for?
Ekstra notas - Opmerkings /
Extra notes - Comments