2026 Camp One FAMILY

Camp One FAMILY Registration - NO shirt 0

Please complete ONE registration form for the FAMILY and complete details for each child attending 2026 CAMP ONE.

Parent /Guardian Details

Parent /Guardian Email Address *

Parent/Guardian Mobile Number *

How did you hear about Camp One?

Child 1 details

Child 3

Is this your first Camp One?

Attendee First Name

Attendee Last Name

Gender

Male

Female

Attendee Date of Birth

School

School Grade

Merch order closed

Child 4

Is this your first Camp One

Yes

Attendee First Name

Attendee Last Name

Gender

Male

Female

Attendee Date of Birth

School

School Grade

Merch order closed

Emergency and Medical Information

Does your child have any medical conditions? (please provide name of child with details)

Does your child take any medication? (please provide name of child with details)

Does your child have any allergies or special dietary requirements? (please provide name of child with details, eg Food allergy, intolerance, anaphylaxis, vegetarian, gluten free))

If your child has an Allergy, Asthma or Anaphylaxis Action Plan please provide the church with a copy.

Emergency Contact if not Parent

If, in the event of an emergency and the leaders are unable to reach a parent, please provide another person you would like us to contact.

Emergency Contact Name

Emergency Contact Number

Relationship to Child

Parent/Guardian Permissions

Please read these statements carefully and answer according to your consent.

I acknowledge my child will go offsite with their grade and leaders for 1 activity. *

Yes

Do you give permission for any photo and/or video footage taken during the event, to be used responsibly for promotional purposes for ministry at Menai Anglican Church. *

Yes

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 (including Paracetamol for pain) 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. * *

Yes

Date