This will be the first emergency contact.

This will be the second emergency contact.

Please note that there will be a leader with strong swimming ability supervising the pool when in use

To assist leaders in caring for your child, please provide details on the medication and allergy: what medication, when it needs to be administered, etc.

For any further details about any allergies or medication, please forward details and/or anaphylaxis plans to rachael.connor@lmap.org.au

Lower Mountains Anglican Church is exempt from the requirements of the Privacy Act 1988 (Cth) as it is a small business. However, we seek to deal carefully with the personal information we collect and to do so in a manner consistent with your reasonable expectations.

The personal information in this form will be made available to:

(a) the leaders involved in the running of Square One Camp,

(b) Lower Mountains Anglican Church's Staff, and

(c) medical and emergency services if considered necessary.

• I give permission for my child to participate fully in the Square One activities
• I give permission for my child to travel in a bus to and from the venue.
• I give permission for the LMAP leaders to administer paracetamol to my child should it be deemed necessary if all reasonable attempts to contact me have failed.
• I give permission, in the case of a medical emergency, to the doctor chosen (either by the LMAP leaders or Youthworks leaders or other persons supervising or administering the activities), to secure proper treatment for and/or order hospitalisation, injection, anasthetic or surgery for my child as named. I understand that every effort will be made to contact me prior to instituting such procedures.

This registers interest with us. We will then bulk purchase tickets with Youthworks. Once we have made the bulk purchase, links will be sent to fill in, in order to also provide information to Youthworks.

This will be the first emergency contact.

This will be the second emergency contact.

Please note that there will be a leader with strong swimming ability supervising the pool when in use

To assist leaders in caring for your child, please provide details on the medication and allergy: what medication, when it needs to be administered, etc.

For any further details about any allergies or medication, please forward details and/or anaphylaxis plans to rachael.connor@lmap.org.au

Lower Mountains Anglican Church is exempt from the requirements of the Privacy Act 1988 (Cth) as it is a small business. However, we seek to deal carefully with the personal information we collect and to do so in a manner consistent with your reasonable expectations.

The personal information in this form will be made available to:

(a) the leaders involved in the running of Square One Camp,

(b) Lower Mountains Anglican Church's Staff, and

(c) medical and emergency services if considered necessary.

• I give permission for my child to participate fully in the Square One activities
• I give permission for my child to travel in a bus to and from the venue.
• I give permission for the LMAP leaders to administer paracetamol to my child should it be deemed necessary if all reasonable attempts to contact me have failed.
• I give permission, in the case of a medical emergency, to the doctor chosen (either by the LMAP leaders or Youthworks leaders or other persons supervising or administering the activities), to secure proper treatment for and/or order hospitalisation, injection, anasthetic or surgery for my child as named. I understand that every effort will be made to contact me prior to instituting such procedures.

This registers interest with us. We will then bulk purchase tickets with Youthworks. Once we have made the bulk purchase, links will be sent to fill in, in order to also provide information to Youthworks.