Junior Camp 2025 – nnz.bluevineyardevents.com

Junior Camp 2025

Junior Camp Registration

Price: $150.00

Food Options for Junior’s (all meals are vegetarian)

Attendee Information

First Name

Last Name

Gender

Female

Male

Date of brith

Age at the time of event

Church attending

Name of church attending

Parent/Guardian Contact Details

First Name

Last Name

Relationship to child

Mobile

Attendee Medical Details

Protecting your privacy is important to us. The information we seek allows us to manage risk, provide reasonable care and administer your involvement in our program. We are careful to keep your information confidential and provide it only to those agents acting on behalf of the organisation who need it to enable them to perform their agreed activities (eg. first aid officer). We will not use your information for other purposes.

Doctor or Medical Centre

Phone number (for Doctor or Medical Centre)

Year of last tetanus shot

Is the attendee up-to-date with immunisations? (eg, measles, mumps and rubella)

Yes

Level of swimming ability

Please tick all relevant boxes and provide further details as necessary

Please provide more information if you have answered yes to any of the above otherwise put ‘NA’

Any medications needed during camp (indicate whether they will self administer or require help)

Are there any other medical conditions that we should be aware of

Emergency Contact Information

First Name

Last Name

Relationship to Attendee

Best Contact Number

Other Contact Number

Parent / Guardian Consent

I understand my child will not be able to attend camp if they have any cold or flu-like symptoms (a full refund will be given). I also understand my child may be asked to leave if they develop cold or flu-like symptoms.

Yes

I give permission for photos and videos to be taken of my child (with the understanding these will only be used for internal use at the camp and a handful used for advertising next year’s camp).

Yes

I understand Junior Camp is a safe space for all campers and my child may be asked to leave if they insist on putting themselves or others at risk of harm.

Yes

I give permission for medical care for my child if required.

Yes

I have read and agree to the Terms and Conditions

Payment

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