Ignite CAMP 2024 Registration • Glen Waverley Anglican Church

23rd - 27th September 2024

Don Bosco Camp

52/62 Dromana Parade

Safety Beach VIC 3936

We are so excited to invite your child to GWACs Ignite Youth Camp for 2024!

To ensure we have all the necessary information to make your child’s time enjoyable and safe, please complete the registration form below with as much detail as possible. You will then be sent an email regarding payment instructions. By completing the form you can lock in the early bird price but please note that registration is not complete until payment has been received.

$410: Early Bird - Due by Friday 16th August

$440: Regular - Due by Friday 6th September

For PART TIME rates please contact Brad Jackson at b.jackson@gwac.org.au

Don't allow the camp cost to be a barrier to your child attending. To request a camp subsidy please contact Brad.

Further details regarding pickup and drop off times, along with packing lists and camp rules / expectations will be emailed closer to the event.

If you have any questions or concerns, please do not hesitate to reach out to Brad Jackson.

We are incredibly excited for your youth to join us in September.

God Bless,

The Ignite Team

Child details

First Name

School Grade

Date of Birth

Last Name

Gender

Email Address (optional) *By listing their email I give permission for my youth to be contacted via email regarding the camp packing list and camp rules.*

Parent or Guardian Details - 1

First Name

Email Address

Relationship to youth

Last name

Mobile Number

Parent or Guardian Details - 2

First Name

Email address

Relationship to youth

Last name

Mobile Number

Emergency Contact (not a parent)

First Name

Relationship to youth

Are they authorised to collect?

Last Name

Mobile number

Medical infomation

Medicare number including individual reference number and expiry date

Ambulance membership number

Are there any medical conditions that we should be aware of?

Does your child carry any medication with them?

Please give more details about medical conditions, if necessary.

Tip: Eg. Do they have a management plan?

Please give more details about medications, if necessary.

Who is to administer the young persons medication?

Details of any disabilities we should be aware of.

Does your child have any non-food allergies (ie. bees)? If yes, please outline the severity of the allergy (ie. anaphylaxis), and the management plan for your child.

Dietary Requirements

Does your child have any dietary requirements? If yes, please specify.

Does your child have any food allergies or intolerances? If yes, please specify below; including the severity of the allergy (ie. anaphylaxis), and the management plan for your child.

Safety / Custody

In case we undertake a water activity, what is your child's swimming ability?

Are there any custody arrangements regarding your child?

Extra information about custody arrangements.

Additional Comments: Please provide any additional information you believe we should be aware of regarding your child.

Media Permissions

I consent for images/video of my child to be taken for internal/personal use only.

I consent for images/video of my child to be taken for public/social media use, to promote GWAC ministry in a way that does not identify their name or details.

Please state any specific information about taking photographs or using video footage that would help the GWAC ministry team.

Permissions

By checking these boxes below, I acknowledge that:

Permissions:

I authorise the leader/s in charge of any activity conducted by GWAC (Glen Waverley Anglican Church) to consent on my behalf, where it is impractical to communicate with me, for my child to receive medical or surgical treatment as may be deemed necessary. I am also responsible for the cost of any medical treatment deemed necessary

I consent to my childs/youths participation in the activities of which I have received notification. I will encourage my child to participate and co-operate with the leaders and other participants.

I give permission for my child to be transported in private cars arranged by the leaders as necessary for the program.

Confirmation:

By acknowledging and signing below, I am delivering an electronic signature that will have the same effect as an original manual paper signature. The electronic signature will be equally as binding as an original manual paper signature.

Name of Signature:

Date of Signature.