Forge Camp

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When: Monday 21st April to Friday 25th April

Drop off: 12:15 Northmead Anglican Church, 6 Thomas Street, Northmead
Where: Youth Works Centre Rathane, 25-37 Rathane Telford Rd,
Royal National Park NSW
Pickup: 3:30pm Northmead Anglican Church, 6 Thomas Street, Northmead
Who: Anyone in Years 7 to 12
Cost: $490 This includes accommodation, food, Camp Merch, coach hire and activities.

If you run into difficulty filling out this form please email Abe: abe@nac.asn.au

At the conclusion of this form you will receive an email about our payment options:
Card or Cash on Friday nights, or Bank transfer

Parent/Guardian Information

First Name *

Last Name *

Phone Number *

Home Address *

Parent Email Address for more information about camp *

Emergency contact (if first parent cannot be reached)

Full Name *

Phone number *

Camper 1 Details

First name of Camper *

Last Name of Camper *

Gender *

Date of Birth *

Address of youth (if different from parent address)

School Grade *

School *

Preferred t-shirt size (men's) *

Preferred t-shirt size (Women's) *

Jumper/Hoodie Size (unisex - check a jumper your camper owns it you're unsure of the size) *

Medicare Card Number *

Medicare Card Reference Number *

Medicare Card Expiry date *

Doctor *

Doctor Phone Number *

Swimming ability *

Allergies/special Diet *

Medication *

Any other comments?

Additional details (anything leaders should know that would help your child to have a great time on camp)

Would you like to register a second camper? *

Camper 2 Details

First name of Camper *

Last Name of Camper *

Gender *

Date of Birth *

Address of youth (if different form parent address)

School Grade *

School *

Preferred t-shirt size (men's) *

Preferred t-shirt size (Women's) *

Jumper/Hoodie Size *

Medicare Card Number *

Medicare Card Reference Number *

Medicare Card expiry date *

Doctor *

Doctor Phone Number *

Swimming ability *

Allergies/special Diet *

Medication *

Any other comments?

Additional details (anything leaders should know that would help your child to have a great time on camp)

Would you like to register a third camper? *

Camper 3 Details

First name of Camper *

Last Name of Camper *

Gender *

Date of Birth *

Address of youth (if different from parent address)

School Grade *

School *

Preferred t-shirt size (men's) *

Preferred t-shirt size (Women's) *

Jumper/Hoodie Size *

Medicare Card Number *

Medicare Card Reference Number *

Medicare Card expiry date *

Doctor *

Doctor Phone Number *

swimming ability

Allergies/special Diet *

Medication *

Any other comments?

Additional details (anything leaders should know that would help your child to have a great time on camp)

Parent/Guardian Signature

By submitting this form I give permission for my children/ward(s) named above to attend Forge Camp at Youthworks Centre Rathane – 25-37 Rathane Telford Rd, Royal National Park NSW
From: Monday 21nd April 2024
To: Friday 25th April 2024

Medical Authorisation
I authorise the leader in charge of the above mentioned group where it is impracticable
to communicate with me, to arrange for my child to receive such medical treatment as
the leader may deem necessary while in the care of the leader. I further authorise the use
of an ambulance if in the leader’s judgment it is necessary. I accept responsibility for
payment of all expenses associated with such treatment.

Responsibility & Indemnity
I appreciate that every reasonable care will be taken by the leaders of the above
mentioned group. I agree to indemnify and hold harmless the offices of the Anglican
Diocese of Sydney and the leaders conducting this group against all claims, suits,
demands and liability of whatever nature and howsoever arising out of injury to the child
or loss or theft of property affecting my child during the activity.

Transportation
I give permission for my child to be transported by bus to and from the campsite. I also
give permission for my child to be transported in a private vehicle during the event under
appropriate supervision as arranged by the leaders of the aforementioned group for the
purpose of medical treatment or camp activities.

Photography & Privacy

As part of Forge Camp, we may take photos and videos of participants to capture the fun and community of the camp. These images may be used for:

Sharing camp highlights with parents and participants
Promoting future camps and events through church or camp-related platforms (e.g., websites, social media, newsletters)
Creating memories for campers through slideshows or printed materials

I understand that photos/video will be taken during the course of youth activities and I
am willing for my child to be filmed/photographed in appropriate settings. I am also
willing for these photos/footage to be used in the context of promoting the ministry (e.g.
on a brochure for the group, website, etc.) without identifying their name or details. My
child is also willing for this to take place.

Please let us know if you would not like your child(ren) to be photographed.

Parent/Guardian's Signature certifying acceptance of all these conditions: (please type your name) *

Today's date *

Thanks for filling in this form and registering your campers for camp!

After clicking 'Submit' an email will be sent to the email listed on this form to confirm your registration and share ways that you can pay for camp.