Trial Volunteer Registration Form – Young Life Australia

Step 1 of 6

Thank you for applying as a Camp Champ with Young Life! As well as providing these details, you will be required to have a working with children check as per your State/Territory requirements; and to complete Young Life's online volunteer training. Please make sure you have to hand the following:
- Emergency Contact Details
- Medical Details
- Medicare Numbers & Family GP Details
- Allergy & Medication Details

Emergency Contact Details

Full Name of your Primary Emergency Contact *

Primary Phone *

Residential Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Full Name of Secondary Emergency Contact *

Secondary Phone *

Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Private Health Insurance fund & no:

Name & Phone Number of Family GP

Indemnity and Consent

Please read carefully and provide your 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 I/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/children 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/my child/children’s participation in such camp, trip, or excursion. *

Agree

Discipline: If in the event my or my family member'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 suspend my role and arrange travel home, at my expense, at the earliest possible time, by the most effective mode of transport, in conjunction with my co-operation. *

Agree

Comment

Type of registration

Choose your camp

Your Contact Details

Volunteer Details

Medical Information

Medical Information

Medical Information

Medical & Allergy Details

Emergency Contact Details

Indemnity and Consent

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