Senior Summer Camp

1

Our Senior Youth are going on our annual summer holiday!

From January 17-21 we will be heading down to Gerringong for 4+ days of games, beach, hanging out and being inspired for life from God’s word.

Who: People going into years 10 – 12 in 2024

Start: Meeting at Chittick Lodge at 2:30pm on Wednesday 17th January

Finish: Returning to CBC for a special 5pm service on Sunday 21st January

Location: Chittick Lodge, Gerringong (chitticklodge.org.au)

Accommodation: Everyone in cabins.

Cost: $300

Scholarships: For those unable to afford the full cost of the camp, subsidies are available, no questions asked.

RSVP: By Sunday 10th December

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

    Dietary Requirements

    Special Dietary Requirements

    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: