2025 GBC Youth Camp Registration form • GBC Links

Youth/Child's Information

We are so excited to have your child joining us this year for GBC YOUTH Camp. For the safety of your child we are required to have a parent/guardian fill out this permission and information form which will be used to keep you child safe whilst at camp. So, please take the time to fill out this permission form, ensure that all information provide is acurate and correct, and we ensure that all information provided is kept confidential and is used only if necessary.

First Name *

Date of Birth *

Last Name *

School Grade *

Medical Information

Does your child have any allergies (including food intolerances), medical conditions, or behavioural concerns? *

If yes, please explain allergies (including food intolerances), medical conditions, or behavioural concerns.

Does your child take any regular medications that will need to be taken during their time away? *

Tip: Your child will be responsible for keeping and administering any medications they require themselves, unless otherwise organised accordingly.

If yes, please specify.

Do you authorise the leadership of GBC YOUTH to arrange for my child to receive first aid and medical treatment, as a trained first aid person may deem necessary? *

Tip: In the event of an injury or medical emergency one or both of the emergency contacts (listed Below) will be contacted as soon as possible.

Do you authorise the use of calling an ambulance if it is judged to be necessary? *

Do you accept responsibility for payment of all expenses associated with such treatment? *

Do you give permission for the leadership of GBC YOUTH to provide my child with Paracetamol/Ibuprofen should the need arise during their time away? *

Tip: Such medications will be kept and administered by the leadership team and only done so when necessary.

Additional Information

Swimming Capacity

Do you give permission for your child to swim at the pool located onsite during their time away on the GBC YOUTH Camp? *

What is your child's capacity to swim independently? *

Dietary Requirements

Is your child on a restricted diet? *

If yes, please specify.

Photo & Video Agreement

As part of attendance to the GBC YOUTH Camp, photos and videos may be taken of your child and stored by Gymea Baptist Church (in accordance with the Privacy Act of NSW). Video and photographs will be taken to record youth events and may be used to promote GBC YOUTH, in both digital and print formats.

Do you consent to your child being Videoed or photographed? *

Parent/Guardian Emergency Contact Details

Emergency Contact 1

First Name *

Mobile Number *

Last Name *

Relationship *

Emergency Contact 2

First Name *

Mobile Number *

Last Name *

Relationship *

Would you like to receive general updates, via SMS, during your child's time away? *

Liability Release

By adding your name and date to this form you agree to the following:

I acknowledge that camp activities can be hazardous and that my child/children participate at their own risk. I understand that the leaders of GBC YOUTH will take reasonable steps to provide a safe environment for my child/children and to ensure all equipment supplied by them for any activities is of a reasonable standard.

I acknowledge that leaders of GBC YOUTH and Gymea Baptist Church, both staff and volunteers will; not be liable for any injury that may be suffered by my child/children, which arises either directly or indirectly from, or in connection with, the GBC YOUTH Camp.

I hereby agree to indemnify Gymea Baptist Church and GBC YOUTH against any and all claims arising from, or in connection with, any injury that may be suffered by my child/children, or that my child/children may cause another person, as well as any loss or damage to property, equipment or personal effects belonging to my child/children, or any other person, arising either directly or indirectly out of or in connection with the GBC YOUTH Camp.

Parent/Guardian Full Name *

Date *