Summer Camp 2020

CBC Youth 2.0 is going on its annual summer holiday!
From January 15-19 we will be heading down to Ulladulla again for 4+ days of games, beach, hanging out and being inspired for life from God’s word.

Who: Anyone in Years 8 – 12 in 2019

Start: Leaving CBC at 11am on Wednesday 15th January

Finish: Returning to CBC for a special 5pm service on Sunday 19th January

Location: Kings Point Retreat, Ulladulla (<10 minute walk to the beach!)

Accommodation: Girls in Cabins, Boys Camping
(if a boy needs to be in a cabin for medical reasons, please include this under “Medical Conditions” in the form below).

Cost: $180 (plus bring some spending money for lunch on Wednesday
and any other food/optional activities you might want to do while we’re down there).

Scholarships: Subsidised places are available for families requiring financial assistance.
Please complete the registration below and contact Andrew for more information.

RSVP: By Sunday 15th December

Contact Andrew: ACameron@ecbc.org.au

To register, please fill in the form below.

Youth Information

FIRST NAME:

LAST NAME:

DATE OF BIRTH:  

EMAIL:

CURRENT SCHOOL YEAR:

 

Parent/Guardian Information

EMERGENCY CONTACT #1

EMERGENCY CONTACT #2

Medical Information

MEDICARE INFO

MEDICAL CONDITIONS:

MEDICATION:

Please list the following in the field below:

  • Medication Name
  • Dosage
  • Time of Dosage

Any listed medication MUST be supplied in original packaging and correctly labelled with your child’s name and type of medication. A leader will supervise the administration of all medication including paracetamol.

Indemnity

I/We

• understand all reasonable safety precautions will be taken at all times by CBC Youth leaders and the camp staff during the events and activities

• authorise any treatment by an accredited hospital and/or physician deemed necessary for the subject of the release in case of an emergency

• understand the possibility of unforeseen hazards and know the inherent possibility of risk

• agree not to hold CBC Youth, it's leaders, employees, and volunteer staff liable for damages, losses, diseases or injuries incurred by the subject of this form.

• understand that the youth will be travelling to the camp and back by bus or by a car driven by a full-licensed leader

Parent/Guardian Signature

Please use your mouse to sign in and if you make a mistake just press clear.

DATE: