2026 Camp One • Menai Anglican Church

Camp One Registration - No Shirt 0

Please complete ONE form for each child attending 2025 CAMP ONE.

Is this your first Camp One? *

Attendee First Name *

Attendee Last Name *

Parent/Guardian Name *

Parent Email Address *

Parent Mobile Number *

How did you hear about Camp One?

Attendee Date of Birth *

School

Gender

Emergency and Medical Information

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

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

Special Dietary Considerations

Please comment here on any further allergies or other medical information.

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

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