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  • IGNITE Youth Camp Registration Form

  • WHO ARE YOU FOLLOWING?

    Date:
    10:00am, Monday 30th September – 3:30pm, Friday 4th October

    Location:
    Don Bosco Camp - 52/62 Dromana Parade, Safety Beach, 3936

    Cost:
    Camp Registration $315
    *Early Bird Price $290 (Before Sunday 28th July)
    **Registrations recieved after Sunday 8th September will inquire a $15 late fee**


    Contact Bre Wilkinson for more information
    b.wilkinson@gwac.org.au
    0419 930 097

  • Participant Information

  • Parent Guardian Information

  • Emergency Contact Information

    Please include one emergency contact that is not one of the parent/guardians listed above.
  • Participant Medical Information

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  • Consent

  • Informed Consent and Acknowledgement

    I, being the parent/guardian of the participant whose correct details appear in the "submission data" above, give permission for my son/daughter to attend the 2019 IGNITE Youth Camp at DonBosco Campsite from Monday the 30th of September until Friday the 4th of October 2019 and fully prticipate in all activities associated with the camp.

  • Medical Consent

    I authorise the leader(s) in charge of the Glen Waverley Youth Ministry, to consent on my behalf, where it is impractical to communicate with me, to medical and/or surgical treatment, including ambulance transport as may be deemed necessary. I understand that I am responsible for the cost of all such treatment or transport for the above named participant.

  • Media Release and Authorisation 

    I understand that there may be photographs and/or video footage taken of my child during ministry activities and understand that no royalty, fee or other compensation shall become payable to me by reason of any use.

  • 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.

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