Youth Camp 2024

STUDENT - Standard 0

Registration to be read and filled out by an the Legal guardian of the Youth applying to go to camp.

Youth Details

First Name *

Last Name *

Email Address *

Mobile Number *

Gender *

Date of Birth *

School Grade

Address

Home Address *

Home City *

Home State

Home Postcode *

Additional Information

Additional Needs

Yes, my child has Special Needs

Legal restricted

Yes, certain adults are legally restricted from seeing my child

No.

Medication

Yes, my child requires medication

Allergies - including food

Yes

Additional Needs Explained

Legal Restrictions Explained

Medication Explained

Allergies - including food explained

Parent's Information

Parent 1 Name *

Parent 1 Phone Number *

Parent 1 Email Address *

Parent 2 Name

Parent 2 Phone Number

Parent 2 Email Address

Agreement and Expectations

(Parent/Guardian please read, sign and date the following)

By signing below:

   I give permission for my child to participate fully in all activities associated with Dapto Anglican Church (Dapto Youth), unless I advise the Dapto Youth leaders otherwise.
   I give permission for my child to travel in a car driven by an approved Dapto Youth leader or a parent approved, unless I advise the Dapto Youth leaders otherwise. (Your child will not be in a car driven by a learner or provisional licence holder).
   I authorise the Dapto Youth leaders, in the event of an emergency, to obtain at my expense any medical, ambulance, rescue or other services that are considered necessary for my child.
   I acknowledge that being part of a community involves mutual care and consideration, and therefore agree that unacceptable behaviour may result in my child being sent home and being temporarily or permanently prohibited from attending the activities of Dapto Youth.
   I will provide the Dapto Youth leaders with any information relevant to the wellbeing of my child prior to him or her attending a Dapto Youth activity.
   I give consent for photos and videos to be taken of my child throughout Dapto Youth activities and for them to be displayed publically in print media and on social media.
   I give consent for our family to be contacted by the Dapto Youth leaders by mail, phone, or pre-arranged home visit, unless I advise the Dapto Youth leaders otherwise.
   I confirm that the information given in this form is true and correct, and will advise the Dapto Youth leaders of any changes to this information.
   Your personal information is confidential and will be stored in a securely hosted third-party application. If you wish to access this information or have any queries in relation to the manner in which we handle your personal information, please feel free to contact us on 4261 1001.

Anything Extra

Tip: Is there anything else you would like to tell us?

Name of Parent Agreeing to Indemnity *

Date *

FAMILY of two (2) - Standard 0

Youth Camp 2024

Registration to be read and filled out by an the Legal guardian of the Youth applying to go to camp.

Youth Details

First Name *

Last Name *

Email Address *

Mobile Number *

Gender *

Date of Birth *

School Grade

Address

Home Address *

Home City *

Home State

Home Postcode *

Additional Information

Additional Needs

Yes, my child has Special Needs

Legal restricted

Yes, certain adults are legally restricted from seeing my child

No.

Medication

Yes, my child requires medication

Allergies - including food

Yes

Additional Needs Explained

Legal Restrictions Explained

Medication Explained

Allergies - including food explained

Parent's Information

Parent 1 Name *

Parent 1 Phone Number *

Parent 1 Email Address *

Parent 2 Name

Parent 2 Phone Number

Parent 2 Email Address

Agreement and Expectations

(Parent/Guardian please read, sign and date the following)

By signing below:

   I give permission for my child to participate fully in all activities associated with Dapto Anglican Church (Dapto Youth), unless I advise the Dapto Youth leaders otherwise.
   I give permission for my child to travel in a car driven by an approved Dapto Youth leader or a parent approved, unless I advise the Dapto Youth leaders otherwise. (Your child will not be in a car driven by a learner or provisional licence holder).
   I authorise the Dapto Youth leaders, in the event of an emergency, to obtain at my expense any medical, ambulance, rescue or other services that are considered necessary for my child.
   I acknowledge that being part of a community involves mutual care and consideration, and therefore agree that unacceptable behaviour may result in my child being sent home and being temporarily or permanently prohibited from attending the activities of Dapto Youth.
   I will provide the Dapto Youth leaders with any information relevant to the wellbeing of my child prior to him or her attending a Dapto Youth activity.
   I give consent for photos and videos to be taken of my child throughout Dapto Youth activities and for them to be displayed publically in print media and on social media.
   I give consent for our family to be contacted by the Dapto Youth leaders by mail, phone, or pre-arranged home visit, unless I advise the Dapto Youth leaders otherwise.
   I confirm that the information given in this form is true and correct, and will advise the Dapto Youth leaders of any changes to this information.
   Your personal information is confidential and will be stored in a securely hosted third-party application. If you wish to access this information or have any queries in relation to the manner in which we handle your personal information, please feel free to contact us on 4261 1001.

Anything Extra

Tip: Is there anything else you would like to tell us?

Name of Parent Agreeing to Indemnity *

Date *

LEADER 0

Youth Camp 2024

Registration to be read and filled out by an the Legal guardian of the Youth applying to go to camp.

Youth Details

First Name *

Last Name *

Email Address *

Mobile Number *

Gender *

Date of Birth *

School Grade

Address

Home Address *

Home City *

Home State

Home Postcode *

Additional Information

Additional Needs

Yes, my child has Special Needs

Legal restricted

Yes, certain adults are legally restricted from seeing my child

No.

Medication

Yes, my child requires medication

Allergies - including food

Yes

Additional Needs Explained

Legal Restrictions Explained

Medication Explained

Allergies - including food explained

Parent's Information

Parent 1 Name *

Parent 1 Phone Number *

Parent 1 Email Address *

Parent 2 Name

Parent 2 Phone Number

Parent 2 Email Address

Agreement and Expectations

(Parent/Guardian please read, sign and date the following)

By signing below:

   I give permission for my child to participate fully in all activities associated with Dapto Anglican Church (Dapto Youth), unless I advise the Dapto Youth leaders otherwise.
   I give permission for my child to travel in a car driven by an approved Dapto Youth leader or a parent approved, unless I advise the Dapto Youth leaders otherwise. (Your child will not be in a car driven by a learner or provisional licence holder).
   I authorise the Dapto Youth leaders, in the event of an emergency, to obtain at my expense any medical, ambulance, rescue or other services that are considered necessary for my child.
   I acknowledge that being part of a community involves mutual care and consideration, and therefore agree that unacceptable behaviour may result in my child being sent home and being temporarily or permanently prohibited from attending the activities of Dapto Youth.
   I will provide the Dapto Youth leaders with any information relevant to the wellbeing of my child prior to him or her attending a Dapto Youth activity.
   I give consent for photos and videos to be taken of my child throughout Dapto Youth activities and for them to be displayed publically in print media and on social media.
   I give consent for our family to be contacted by the Dapto Youth leaders by mail, phone, or pre-arranged home visit, unless I advise the Dapto Youth leaders otherwise.
   I confirm that the information given in this form is true and correct, and will advise the Dapto Youth leaders of any changes to this information.
   Your personal information is confidential and will be stored in a securely hosted third-party application. If you wish to access this information or have any queries in relation to the manner in which we handle your personal information, please feel free to contact us on 4261 1001.

Anything Extra

Tip: Is there anything else you would like to tell us?

Name of Parent Agreeing to Indemnity *

Date *