moogerah sunrise .jpg

FEARLESS

Southside Youth Camp 2019

camp information

Cost: $30 for food for the weekend + money for maccas on Friday night.

Arrive: 6pm Friday at 30 Mckechnie Drive, Eight Mile Plains

Location: We're heading out to Lake Moogerah (Address on flyer).

General activities: Kayaking/Stand-up-paddleboarding/Water games, hanging out, bible, camp fire, etc.

Pick up: 2pm Sunday - We'll finish up after lunch on Sunday and be back at church at 2pm.

What to bring: - Bible, Pen, Sleeping bag, Pillow, Torch, Board shorts and sun shirt (for boys and girls), Hat, Water bottle, Towel, Toiletries, Warm clothes, Thongs, No technology (mobiles ok), Money for maccas.

 

Southside YOUTH Camp Registration Form

 

Name *
Name
Does your child have any special dietary requirements? If so, please list them
Are there any medical or psychological conditions which require special attention that we should know about e.g. diabetes, asthma, allergy to bee-sting, other allergies that may affect your child including food allergies, hearing or sight impairment, ADHD, behaviour issues, formal counselling situations, or any other? Please list below:
Please Give details of your child's medical insurance if applicable
Medicare Number | Number of People on Medicare Card | Expiry Date
If yes, please give details:
If yes, please give details
If yes, please give details
Can your child swim? *
In attending camp, your consent to your child's participation in a range of general activities (Ie: Canoeing, Tubing, other sport activities, a light hike). If potential risky activities of a specific nature are included, the Team Leader will inform you. Are there any specific activities that you do not wish your child to participate in?
In the case of an emergency, please list the phone numbers where you and another trusted adult may be contacted during the course of the program.
I approve photos of my child being used appropriately for advertising (eg. Southside Youth Facebook page) *
I am aware, in signing this document regarding my child’s participation this program, that certain elements of the program could be physically and emotionally demanding. Furthermore, I understand that certain inherent risks and dangers may exist in the activities in which my child will be participating. I acknowledge that while the organisation and its leaders will make every reasonable effort to minimise exposure to known risks, all hazards and dangers associated with these activities cannot be foreseen or may be beyond the control of the organisation, its leaders and staff. In the event of any emergency where my nominated contact people are unavailable: 1. I authorise the leaders to obtain medical advice and/or assistance which they deem necessary. 2. I further authorise qualified practitioners to administer anaesthetic if required. 3. I accept all operation, blood transfusion and/or anaesthetic risks involved in the event that such procedures are deemed necessary. 4. I accept the responsibility for payment and agree to pay medical, transport and any other related expenses. 5. I confirm that the information contained in this application is true and correct. 6. I agree to inform the leader of any change to these details.