Day Camp 2023

31 May, 2023 9:00 AM - 30 June, 2023 4:00 PM

4 out of 45 remaining tickets available

Day Camp is a learning and adventure program run over 5 days during the June-July State School holidays (26th to 30th June 2023).

Camper Registration opens 1st June 2023. A registration form will need to be filled in for each child attending Day Camp.

It is for primary school age children (grades 1-6).

It involves adventure games, singing, craft activities, gunyah making, challenge activities and sports.

Day Camp is a way young people can be introduced to the love God has for them, the sense of community that comes from living in a camping environment, and a way they can appreciate the wonder of Gods creation.

With drop off and pick up at the site, you get all the fun of camping during the day while still sleeping in your own bed each night!

The cost for campers is $175.00 per camper.

For families with more than one child attending, every other child is $165.00 per camper. Please enter '1' in the 1st Camper section and the number of other children in the 'All other Children' section.

Number of Children Price Per Camper

1 Child $ 175.00 each

All Other Children $ 165.00 each

To Register, type '1' (or the number of children your are registering) to the Ticket Type Quantity section and a registration form/s will load (scroll down...don't hit Next just yet!).

In the Billing & Payment Section please select Manual Invoice and pay by one of the methods outlined in the registration form.

Thank you and we look forward to seeing you at Day Camp!

Type

Price

Quantity

1st Camper

Price
$175.00

Quantity
All Other Children

Price
$165.00

Quantity

Applying discount...

Remove

1st Camper 0

Redlands Uniting Church

CAMPER REGISTRATION FORM - for each child

- Registration opens 1st June 2023

- One camper per registration form please

Enquiries:

Rev. Beth Nicholls Email: redlanducdaycamp@gmail.com Phone: 0407 170 573

Alex Coombes (Resource & Administration Officer) Email: admin@redslandsuc.com.au Phone 0491 068 256

1. Camper Details

First Name:

Middle Name:

Surname Name:

Preferred Name:

Gender:

Date of Birth:

School Grade:

2. Contact Details

Home Address:

Home Address Line 2

Home Suburb:

Home Postcode:

Who can we call in case of an emergency?

Emergency contact phone number:

Please enter parent/guardian's mobile number:

Please enter your home phone number here:

What is your parent's work contact number:

Your email address if you have one. (So you can receive confirmation for registration and information letter):

3. Medical Information

Family Doctor Details:

Date of Last Tetanus Booster (If known - Month, day, year if possible or just 0/0/year):

Do you have any allergies?

Yes

Unknown

Do you have any of the following allergies?

Bee stings

Insect bites

Peanuts

Penicillin

ASCIA Action plan for Anaphylaxis

Other - medication

Other - food

Other - please advise

Other - please specify:

Other allergic reactions/information of treatment necessary:

Medical Conditions:

Asthma/breathing problems

NAC Action Plan to be provided

Blackouts/fainting

Diabetes

Epilepsy

Heart condition

Migraine/headaches

Recent illness/hospitalization/surgery

Other (please provide details below)

Other Medical Information:

Special Dietary Requirements:

Additional Needs:

Medication to be taken to camp and administered: given to first aider 9am daily with instructions:

Medicare Number & Child's Reference Number on Card:

Private Health Fund:

Private Health Fund Member Number:

4. Other People Authorised to Sign In/Sign Out My Child/Children

In the event of the parent or guardian being unable to sign in or sign out of camp, please list other authorised people (or if uncertain at this time please send a signed note to camp).

Who Will Be Collecting Your Child:

I will be collecting my child from Day Camp

An authorised person will be collecting my child from Day Camp

Name and Phone Number of Authorised Person/s

Please contact me to arrange an individual risk management plan relating to the collection of my child:

Yes

5. Authorisation and Consent

5.1 I confirm that the information provided in this document is true and correct.

Select your answer

Yes

5.2 I warrant that I have power to provide this information and agree to inform the Church of any change to these details.

Select your answer

Yes

5.3 I consent to my child/children becoming a member of and taking part in the overall activities of the above mentioned program. *

Select your answer

Yes

5.4 I understand that if urgent medical attention is needed, every effort will be made to contact the parent and emergency contacts listed on this form. In the event that they cannot be contacted in an emergency, I give my permission for my child to receive medical treatment as deemed necessary.

Select your answer

Yes

5.5 I give my permission that my contact details may be used to inform me of other youth and families activities run by Redlands Uniting Church.

Select your answer

Yes

5.6 I consent to information about my child/children being collected and used for the running of activities and reporting of incidents and accidents.

Select your answer

Yes

5.7 I warrant that I will advise the activity leader of unique circumstances regarding my childchildren that may affect their participation in the activity.

Select your answer

Yes

5.8 I warrant that I will advise the Church of any change of circumstances that would affect the Church's care of my child/children or changes to the details of this form. *

Select your answer

Yes

5.9 I give my permission for my child/children to be transported in church vehicles or private cars arranged by the leaders on occasions when it is necessary.

Select your answer

Yes

6. Media Release

I give my permission for my child/children applicant or myself to be photographed, videotaped or recorded. I understand that this material (including name and congregation or activity) may be used and disclosed for the following purposes:
In promotional or information materials produced by the Church
In worship and materials prepared by or for the Church
On the Churchs website and social media platforms
As otherwise permitted or required by law.

Select your answer

Yes

7. Privacy Policy - Privacy Statement

We collect your personal information to enable us to further our mission, respond to your request and maintain contact with you. We may also collect sensitive information about you. You give us your explicit informed consent to our exchanging your information with any part of the UCAQ, data hosting facilities and any third party service provider or professional advisor for these purposes, or purposes reasonably related to them and also for any other purpose you have consented to or as authorised by law. If you provide us with personal information about another person, please make sure that you tell that person about this privacy statement. Further information about what personal information and sensitive information is, as well as why and how we collect, hold, use and disclose it; and how you can access your personal information is available in our Privacy Policy which you can obtain from our website www.ucaqld.com.au or, in printed form, following your written or personal request.

Yes

8. Signature / Date

Signature

Date (day/month/year)

Electronic Submission

You have checked all your entries above and they are correct.

The parent or guardian agrees that by transmitting this form electronically to Redland City Uniting Church for my child/children, to accept it electronically as if signed.

9. Cost

The cost for campers is $175.00 per camper.

For families with more than one child attending, every other child is $165.00 per camper.

Number of Children Price Per Camper

1 Child $ 175.00 each

All Other Children $ 165.00 each

Number of Children Attending From the One Family:

Names of Children Attending from the one Family:

Total Fees Payable =

10. Payment

Payment date and amount:

Payment of fees can be made via direct deposit, credit card or cash.

Direct Deposit

Payment can be transferred to the following account:

Bank: Bank of Queensland

Account Name: Redland City Uniting Church

BSB No.: 124-152

Account Number: 232 584 80

Please include a reference: Surname - Day Camp

Credit Card

To pay by Credit Card please call the office on 0491 068 256 for a credit card payment to be taken over the phone or complete details below.

Cash

To pay by cash please either call into the office at 36 Passage St, Cleveland (small building behind the large hall) or pay at your local Redlands Uniting Church centre. Please notify the office via email (admin@redlandsuc.com.au) if you have paid at your local RUC centre.

Credit Card Details

Name on Card:

Card Number:

Card Expiry:

CVC:

Refund Policy

If, in the unfortunate event you are unable to take part in Day Camp 2023, and give 10 days notice you will receive a full refund. If the Day Camp is closed (e.g. due to Covid) you will receive a full refund for the days that Day Camp is closed.

All Other Children 0

Redlands Uniting Church

CAMPER REGISTRATION FORM - for each child

- Registration opens 1st June 2023

- One camper per registration form please

Enquiries:

Rev. Beth Nicholls Email: redlanducdaycamp@gmail.com Phone: 0407 170 573

Alex Coombes (Resource & Administration Officer) Email: admin@redslandsuc.com.au Phone 0491 068 256

1. Camper Details

First Name:

Middle Name:

Surname Name:

Preferred Name:

Gender:

Date of Birth:

School Grade:

2. Contact Details

Home Address:

Home Address Line 2

Home Suburb:

Home Postcode:

Who can we call in case of an emergency?

Emergency contact phone number:

Please enter parent/guardian's mobile number:

Please enter your home phone number here:

What is your parent's work contact number:

Your email address if you have one. (So you can receive confirmation for registration and information letter):

3. Medical Information

Family Doctor Details:

Date of Last Tetanus Booster (If known - Month, day, year if possible or just 0/0/year):

Do you have any allergies?

Yes

Unknown

Do you have any of the following allergies?

Bee stings

Insect bites

Peanuts

Penicillin

ASCIA Action plan for Anaphylaxis

Other - medication

Other - food

Other - please advise

Other - please specify:

Other allergic reactions/information of treatment necessary:

Medical Conditions:

Asthma/breathing problems

NAC Action Plan to be provided

Blackouts/fainting

Diabetes

Epilepsy

Heart condition

Migraine/headaches

Recent illness/hospitalization/surgery

Other (please provide details below)

Other Medical Information:

Special Dietary Requirements:

Additional Needs:

Medication to be taken to camp and administered: given to first aider 9am daily with instructions:

Medicare Number & Child's Reference Number on Card:

Private Health Fund:

Private Health Fund Member Number:

4. Other People Authorised to Sign In/Sign Out My Child/Children

In the event of the parent or guardian being unable to sign in or sign out of camp, please list other authorised people (or if uncertain at this time please send a signed note to camp).

Who Will Be Collecting Your Child:

I will be collecting my child from Day Camp

An authorised person will be collecting my child from Day Camp

Name and Phone Number of Authorised Person/s

Please contact me to arrange an individual risk management plan relating to the collection of my child:

Yes

5. Authorisation and Consent

5.1 I confirm that the information provided in this document is true and correct.

Select your answer

Yes

5.2 I warrant that I have power to provide this information and agree to inform the Church of any change to these details.

Select your answer

Yes

5.3 I consent to my child/children becoming a member of and taking part in the overall activities of the above mentioned program. *

Select your answer

Yes

Select your answer

Yes

5.5 I give my permission that my contact details may be used to inform me of other youth and families activities run by Redlands Uniting Church.

Select your answer

Yes

5.6 I consent to information about my child/children being collected and used for the running of activities and reporting of incidents and accidents.

Select your answer

Yes

5.7 I warrant that I will advise the activity leader of unique circumstances regarding my childchildren that may affect their participation in the activity.

Select your answer

Yes

5.8 I warrant that I will advise the Church of any change of circumstances that would affect the Church's care of my child/children or changes to the details of this form. *

Select your answer

Yes

5.9 I give my permission for my child/children to be transported in church vehicles or private cars arranged by the leaders on occasions when it is necessary.

Select your answer

Yes

6. Media Release

Select your answer

Yes

7. Privacy Policy - Privacy Statement

Yes

8. Signature / Date

Signature

Date (day/month/year)

Electronic Submission

You have checked all your entries above and they are correct.

The parent or guardian agrees that by transmitting this form electronically to Redland City Uniting Church for my child/children, to accept it electronically as if signed.

9. Cost

The cost for campers is $175.00 per camper.

For families with more than one child attending, every other child is $165.00 per camper.

Number of Children Price Per Camper

1 Child $ 175.00 each

All Other Children $ 165.00 each

Number of Children Attending From the One Family:

Names of Children Attending from the one Family:

Total Fees Payable =

10. Payment

Payment date and amount:

Payment of fees can be made via direct deposit, credit card or cash.

Direct Deposit

Payment can be transferred to the following account:

Bank: Bank of Queensland

Account Name: Redland City Uniting Church

BSB No.: 124-152

Account Number: 232 584 80

Please include a reference: Surname - Day Camp

Credit Card

To pay by Credit Card please call the office on 0491 068 256 for a credit card payment to be taken over the phone or complete details below.

Cash

Credit Card Details

Name on Card:

Card Number:

Card Expiry:

CVC:

Refund Policy

Total

$0.00

Time Remaining