Camp Registration – Young Life Australia

Welcome to Camp Registration! Please make sure you carefully select your camp.

If at any point in this process you need assistance, please call 1300 557 647.

Step 1 of 6

What you will need to complete registration:
- Emergency Contact Details
- Medicare Numbers & Family GP Details
- Allergy & Medication Details

Emergency Contact Details

Full Name of Parent/Guardian with whom the attendee/s primarily resides. Adult volunteers should list their Primary Emergency Contact: *

Primary Phone: *

Primary Contact Residential Address: *

Address Line 1

City

State / Province / Region

Postal Code

Country

Full Name of Secondary Parent/Guardian or Secondary Emergency Contact: *

Secondary Phone: *

Secondary Contact Address: *

Address Line 1

City

State / Province / Region

Postal Code

Country

Private Health Insurance fund & no:

Name & Phone Number of Family GP:

Please read carefully and provide your consent.

Indemnity and Consent

Sun Protection - It is expected that you/your child/children come to camp with a hat, t-shirt (that covers shoulders) & sunscreen. I acknowledge that I will ensure my child/children attends camp with these items. Should my child attend camp 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: *

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: *

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: *

Agree

Discipline - If in the event your/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: *

Agree

Welcome to Camp Registration! Please make sure you carefully select your camp.

Choose your camp

Parent/Volunteer Contact Details

Camper Details

Medical Information

Medical Information

Medical Information

Medical & Allergy Details

Emergency Contact Details

Indemnity and Consent

Your Registration is almost complete!

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