Register

Important Information

EARLY BIRD REGO CLOSES – Midnight Sunday 19th March. MERCHANDISE CLOSING DATE – Midnight Sunday 20th March.

Please read this before registering

Completion of this registration form is conditional upon the person registering being prepared to pay for the registrations. Students should discuss the registration process with their parents/guardians before completing this registration. Please do not complete the registration form unless you are prepared to pay for the students/merchandise forming a part of this registration

Youthworks Special Diets

Please note we are only able to cater special dietary needs for main meals, fruit is available at all other times. Please also note that we are unable to supply any gluten free bread and suggest that guests supply their own.

Anaphylactic and Life threatening allergies: In an effort to ensure the safety of all of our guests and to minimise harm Youthworks is unable to cater for guests with anaphylactic reactions to food items and life threatening food allergies. These guests should be made aware that they should bring their own PREPARED food to reheat to limit the threat of contamination. Being a commercial kitchen Youthworks is unable to provide a site free of allergens (such as traces of treenuts, peanuts or gluten) or any food item that may cause a reaction to someone with a severe food allergy.

Please contact Youthworks directly should you need to discuss this further.

Attendee Preliminary Information

How did you find out about Camp One 2023?*

How many campers in total are you registering on this form?*

Sibling Discount for 3 or more campers

If you are registering three or more siblings to attend the camp the total price for camping fees is $1,000. This price does not include T-Shirts

First Attendee

First Name*

Surname*

Email*

Enter Email Confirm Email

Age*

Gender*

School*

School Year (Grade)*

Address*

Street Address Address Line 2 Suburb Postcode

Home Phone*

Mobile Phone*

Medical Information about this attendee

Please list any allergies you may suffer from and the potential reactions

Please list any relevant medical conditions and current medications

Any special dietary requirements (please read the YouthWorks note at the beginning of this form)

Camp Cost

Price:

Second Attendee

First Name (second attendee)*

Surname (second attendee)*

Email (second attendee)*

Enter Email Confirm Email

Age (second attendee)*

Gender (second attendee)*

School for Second Attendee*

School Year - Second Attendee (Grade)*

Address (second attendee) - only complete if different to first attendee

Street Address Address Line 2 Suburb Postcode

Home Phone (second attendee) - only complete if different to first attendee

Mobile Phone (second attendee)*

Medical Information about second attendee

Please list any allergies the second attendee may suffer from and the potential reactions

Please list any relevant medical conditions for the second attendee and current medications

Any special dietary requirements (please read the YouthWorks note at the beginning of this form)

Camp Cost

Price:

Third Attendee

First Name (third attendee)*

Surname (third attendee)*

Email (third attendee)*

Enter Email Confirm Email

Age (third attendee)*

Gender (third attendee)*

School for Third Attendee*

School Year - Third Attendee (Grade)*

Address (third attendee) - only complete if different to first attendee

Street Address Address Line 2 Suburb Postcode

Home Phone (third attendee) - only complete if different to first attendee

Mobile Phone (third attendee)*

Medical Information about third attendee

Please list any allergies the third attendee may suffer from and the potential reactions

Please list any relevant medical conditions for the third attendee and current medications

Any special dietary requirements (please read the YouthWorks note at the beginning of this form)

Fourth Attendee

First Name (fourth attendee)*

Surname (fourth attendee)*

Email (fourth attendee)*

Enter Email Confirm Email

Age (fourth attendee)*

Gender (fourth attendee)*

School for Fourth Attendee*

School Year - Fourth Attendee (Grade)*

Address (fourth attendee) - only complete if different to first attendee

Street Address Address Line 2 Suburb Postcode

Home Phone (fourth attendee) - only complete if different to first attendee

Mobile Phone (fourth attendee)*

Medical Information about fourth attendee

Please list any allergies the fourth attendee may suffer from and the potential reactions

Please list any relevant medical conditions for the fourth attendee and current medications

Any special dietary requirements (please read the YouthWorks note at the beginning of this form)

Three or More Sibling Discount

Three or More Sibling Discount Price*

Price:

Emergency Contact Info

Emergency Contact Name*

Emergency Contact Phone Number*

Consent Information

Please read this statement carefully. I understand that personal accident insurance is the responsibility of the individual, and that Menai Anglican Church, and its representatives, can accept no liability for any injuries or other accidents. I give permission for medical aid to be sought in the event of any accident or sickness. I agree to pay all such doctor's, hospital, ambulance and pharmacy fees incurred on my behalf. I understand that photo and/or video footage may be taken during the event, and will only be used responsibly for promotional purposes for ministry at Menai Anglican Church.*

I agree
I disagree

If you disagree with this consent information please do not proceed with the registration process. Please contact the church office on (02)9541 0990 and discuss your concerns with the office staff.

Proceeding with the registration will be considered accepting this Consent Information

Merchandise

CLOSING DATE FOR MERCHANDISE ORDERS IS MIDNIGHT SUNDAY 20TH MARCH

Male T-Shirt Options

Male T-Shirt (S)

Price: $ 25.00

Male T-Shirt (M)

Price: $ 25.00

Male T-Shirt (L)

Price: $ 25.00

Male T-Shirt (XL)

Price: $ 25.00

Male T-Shirt (2X)

Price: $ 25.00

Male T-Shirt (3X)

Price: $ 25.00

Female T-Shirt Options

Female T-Shirt (XS) (NOT AVAILABLE - DO NOT ORDER)

Price: $ 25.00

Female T-Shirt (S)

Price: $ 25.00

Female T-Shirt (M)

Price: $ 25.00

Female T-Shirt (L)

Price: $ 25.00

Female T-Shirt (XL)

Price: $ 25.00

Payment Details

First Name of Payer*

Surname of Payer*

Email Address of Payer*

Total amount to be paid

$ 0.00

CAPTCHA

Phone

This field is for validation purposes and should be left unchanged.

Fun, Community and the hope of Jesus for year 6-12.
REGISTER

REGISTER FOR CAMP ONE 2023

Registration Open

Register 2023

Important Information

EARLY BIRD REGO CLOSES – Midnight Sunday 19th March. MERCHANDISE CLOSING DATE – Midnight Sunday 20th March.

Please read this before registering

Youthworks Special Diets

Attendee Preliminary Information

Sibling Discount for 3 or more campers

First Attendee

Medical Information about this attendee

Second Attendee

Medical Information about second attendee

Third Attendee

Medical Information about third attendee

Fourth Attendee

Medical Information about fourth attendee

Three or More Sibling Discount

Emergency Contact Info

Consent Information

Merchandise

CLOSING DATE FOR MERCHANDISE ORDERS IS MIDNIGHT SUNDAY 20TH MARCH

Male T-Shirt Options

Female T-Shirt Options

Payment Details