Register Here: Melbourne Cable Park with Young Life Monash

Type of Registration (Please select)

Volunteer's First and Last Name *

First

Last

Volunteer's Email *

Volunteer's Phone *

Parent/Guardian's Full Name *

Parent/Guardian's Email *

Parent/Guardian's Preferred Phone *

Student's First and Last Name *

First

Last

School grade in 2021 *

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 you dietary requirements

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

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

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

Register for Melbourne Cable Park – a Young Life Monash activity

Melbourne Cable Park Waiver

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