SEP 20-21 2024: Young Life Barossa – Club Campout - Young Life Australia

About
- About Us
- Governance
- For Parents
- News
- Find us
Youth
Get Involved
Events
- Events
Foundation
Donate
Menu Menu

Club Campout is a one night event designed to get us outside of our comfort zone and exploring something new.

This is the perfect opportunity to invite a friend and sign up for an adventure you won’t forget.

All you need is, sleeping gear, mattress/swag, pillow, sleeping bag, warm clothes for outdoors, walking shoes, toiletries, and a camping chair.

Can’t wait to see you there!

Friday 20 - Saturday 21 September, 5pm-10:30am

What to Bring List:
Sleeping gear, mattress/swag, pillow, sleeping bag, warm clothes for outdoors, walking shoes, toiletries, camping chair.

We will be staying at Bethel Lutheran Church in Kapunda. Dinner and breakfast will be provided. Please advise of any dietary requirements.

Register here

Young Life Barossa – Club Campout – Registration Form

Please enable JavaScript in your browser to complete this form.

- Step 1 of 4

Registration Type:

Student
Adult

Personal Information

Student's First and Last Name *

First

Last

Your First and Last Name *

First

Last

School grade in 2024 *

Parent/Guardian's full name *

Parent/Guardian's email *

Your email *

Parent/Guardian's preferred phone *

Your preferred phone *

Your full name (as it appears on your WWCC) *

Your WWCC Number *

Enter 'SRN xxxx-xxxx ' OR CCR ID 'xxxxxx'

Your date of birth *

DD/MM/YYYY

Medical Information

Emergency contact (full name): *

Emergency contact mobile: *

Medicare no: *

Medicare expiry date: *

Medicare position no: *

Medical information (only tick if you have a prescription for the following)

Asthma medication
Epipen

Do you have any life-threatening allergies? *

Yes
No

Enter details of your allergy/ies

Do you have any dietary requirements? *

Yes
No

Enter your dietary requirements

Further comments (any information relevant to the safety and participation of the student you are registering)

Indemnity and Consent

Sun Protection: It is expected that you/your child/children come to this event with a hat, t-shirt (that covers shoulders) & sunscreen. I acknowledge that I will ensure my child/children attend with these items. Should my child attend the event without a hat, t-shirt & sunscreen, Young Life Australia in the first instance will call me and request I provide Young Life with the finances for them to purchase the items for my child and in the second instance will request my child remain in shaded areas, therefore excluding them from some activities. *

I agree

Consent to medical attention: I, the undersigned confirm my consent to the activities I/my child/children will engage in while on a Young Life activity or camp. I acknowledge the staff and volunteer agents of Young Life will take all possible care but cannot be held responsible for unforeseen accident or illness arising. I hereby consent to medical, hospital, rescue procedures being employed in the best interests of myself/my child and that I shall be notified as soon as possible should the continuance of such procedures be necessary. *

I agree

Disclaimer: In the unforeseen event of personal injury or illness sustained while on a Young Life activity or camp, or the loss of personal property except where such property was held in the custody of Young Life staff or volunteer agents when lost while on a Young Life activity or camp, I hereby release, and exempt, and indemnify the organisers, sponsors, and all other persons involved in the organisation of the Young Life camp, trip, excursion, from all action, proceedings, demands, costs, expense, and claims whatsoever made or taken by any person arising out of my own/my child/my children’s participation in such camp, trip, or excursion. *

I agree

Discipline: If in the event you or your child's behaviour is deemed by the organisers to be inappropriate or compromises the safety and/or health of other Attendees on the camp, trip or excursion, then Young Life reserves the right to send you/your child home, at your expense, at the earliest possible time, by the most effective mode of transport, in conjunction with your co-operation. *

I agree

Media Consent: Young Life may take photos &/or video footage at Young Life activities to commemorate the event and use for promotional purposes. Tick the box below if you agree to photos or footage of you/your child/guardian being used. *

Agree
Disagree

Signature *

Clear Signature

Your privacy: The personal contact/address details you supply on this form will be entered into our database. We may use it to send you further information about Young Life Australia. Young Life Australia adheres to the Privacy Act and will not disclose this information to third parties. If you would like to know what information Young Life holds about you please call 1300 557 647.

I consent to receiving information from Young Life Australia

Email

MORE INFORMATION

Sophie Wilksch, Area Director

0479 095 346

sophiewilksch@younglife.org.au

FOLLOW US ON FACEBOOK

For weekly updates on Drop In and other news and activities

CHECK US OUT ON INSTAGRAM

For more adventures and updates @younglifebarossa

Connect

PO Box 552
RYDE NSW 1680
1300 557 647
office@younglife.org.au

Get Involved

Volunteer
Donate

About us

Resources

Staff Resources
Useful links

© Young Life Australia - Privacy

Facebook
Instagram
Mail

Foundation