KYCK • St James Turramurra

Registrations close April 12 or when all tickets are sold.

To complete your registration, you will need to finalise your payment through bank transfer*:

Cost: $183

Account name: St James Turramurra

BSB: 032 089

Account number: 278290

Description: Simply quote your invoice number which you'll receive via email upon completion of the registration form e.g., '000241'

Select 'ELECTRONIC BANK TRANSFER' payment at checkout.

*nb. By making payments through bank transfer and not an online payment system, we save over $1000 in merchant fees and thus make camp cheaper! We apologise for any inconvenience.

Date & Time

26 April, 2024 4:00 PM - 28 April, 2024 5:00 PM

1 out of 30 remaining tickets available

Type

Price

Quantity

Ticket

1 Remaining

Price
$183.00

Quantity

Ticket 0

First Name *

Last Name *

Gender *

Date of Birth *

School Year *

Address

Street Address *

Suburb *

Postcode *

Contact Details

Student Email

Student Mobile Number

Home Phone

Dietary/Medical Info

Dietary requirements

Medical Information

Can paracetamol be administered on camp if necessary? *

Yes

Medicare Card

Card Number *

Expiry *

Position on Card *

Health Plans

If the camper requires a plan or medication for an existing health condition (e.g. mental health plan, diabetes management plan, asthma etc.) please note the details below.

Special Needs Child

Do you have a health plan that will need to be sent to us? *

Parent/Guardian 1

Parent/Guardian Name *

Email *

Mobile Number *

Parent/Guardian 2

Parent/Guardian Name

Mobile Number

Name of a buddy you would like to share a tent with (if possible).

Permissions

BY SUBMITTING THIS FORM I CONSENT TO THE FOLLOWING TERMS:

In the event of accident or illness, I/we authorise the Elevate leaders to consent, where it is impracticable to communicate with me/us, to my/our children receiving any medical attention deemed necessary by a licensed physician and/or surgeon.

I/We also authorise the use of an ambulance service if, in the leaders' judgement, it is necessary.

I/We also authorize to engage such treatment and agree to pay the appropriate fees for such service and treatment.

I/We appreciate that every care will be taken by the leaders of the above-mentioned group and that the leaders and those connected with that group cannot be held responsible for personal injury, loss or theft of property affecting my children.

I/We agree to meet the expense of my/our children being returned home either by a staff person or by collecting him/her personally.

I/We understand that such an arrangement may be necessary on account of illness, injury, non-cooperation of any description on the part of my/our children or the inability of my/our children to meet the rigours and requirements of the activity, as deemed by the staff leader.

I/We understand there will/may be photographs and/or video footage taken of my children during this activity and am willing for my children to be so photographed or filmed in appropriate settings. I am also willing for these photos or this footage to be used to promote the ministry in a way that does not identify their name or details. My children are also willing for this to take place.

I/We understand that any cancellations after April 12 will be non-refundable.

Please contact Andrew at amarrett@stjamesturramurra.org.au if you have any questions or concerns.

I agree to terms and conditions for KYCK 2024 *

Yes