Youth Camp 2026 • Lower Mountains Anglican Parish

When: Friday 25th September - Sunday 27th September

Arrival Time: from 4pm, bus leaves at 5pm.

Pickup Time: Approx. 4pm

Where: Wedderburn Christian Campsite - 208 Minerva Road, Wedderburn, NSW, 2560

Transport: Bus from and to Lower Mountains Anglican - 1 Wascoe Street, Glenbrook.

Who: The youth of Lower Mountains Anglican, as well as their friends

Ages: School Years 6-11

Cost: $255, or $205, or $155 - pay what you can

Type

Price

Quantity

Full Price

Price
$255.00

Quantity
Subsidised Cost 1

Price
$205.00

Quantity
Subsidised Cost 2

Price
$155.00

Quantity

Applying discount...

Full Price 0

Youth Details

First Name *

Last Name *

Gender *

Date of Birth *

School Grade

Email Address

Mobile Number (if applicable)

Home Address

Suburb

Postcode

Parent/Caregiver 1 Details

This will be the first emergency contact.

First Name *

Last Name *

Phone Number *

Email Address *

Home Address *

Suburb *

Postcode *

Parent/Caregiver 2 Details

This will be the second emergency contact.

First Name

Last Name

Phone Number

Email Address

Home Address (if different from above)

Suburb

Postcode

Medical & Care Needs

Does your youth have any medical conditions or allergies that we should know about? *

None

Prescription medication

Chronic illness

Medical allergies

Asthma

Other (Provide details below)

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

Medical Condition Details

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

Swimming Ability *

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

Does your youth have any care needs that we should know about?

Behavioural concerns

Psychiatric care

Sleeping issues/concerns

Other (Provide details below)

Care Needs Details

Is there anyone who is legally restricted from seeing your child? (If yes, please provide copies of any supporting documentation, e.g. AVO or Family Court Order, to the church office: admin@lmap.org.au) *

Yes

Legal Restriction Details

Dietary Requirements

Does your youth have any special dietary needs that we should know about? *

Food allergy e.g. nuts

Dietary Requirements e.g. gluten, dairy

Other (Provide details below)

Dietary Details (also specify allergy or dietary requirement)

Is there anything else we need to know for Youth Camp?

Details:

Privacy Declaration

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 Youth leaders involved in the running of Youth Camp,

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

Authorisations & Expectations

I give permission for my youth to attend Youth Camp, unless I advise the Lower Mountains Anglican Church Youth Leaders otherwise.
I authorise the Youth Leaders, in the event of an emergency, to obtain at my expense any medical, ambulance, rescue or other services that are considered necessary for my youth.
I acknowledge that being part of a community involves mutual care and consideration, and therefore agree that unacceptable behaviour may result in my youth being sent home.
I will provide the Youth Leaders with any information relevant to the wellbeing of my youth prior to him or her attending Youth Camp. This might include supporting documentation (eg: AVO, Family Court Order) if there is anyone who is legally restricted from seeing your youth, or anaphylaxis/allergy plans, and any medication they are required to take.
I give permission for photos/videos of my youth taken at Youth Camp to be displayed publicly (online and in print) unless I advise the Youth Leaders otherwise.
I confirm that the information given in this form is true and correct, and will advise Lower Mountains Anglican Church of any changes to this information.

Subsidised Cost 1 0

Youth Details

First Name *

Last Name *

Gender *

Date of Birth *

School Grade

Email Address

Mobile Number (if applicable)

Home Address

Suburb

Postcode

Parent/Caregiver 1 Details

This will be the first emergency contact.

First Name *

Last Name *

Phone Number *

Email Address *

Home Address *

Suburb *

Postcode *

Parent/Caregiver 2 Details

This will be the second emergency contact.

First Name

Last Name

Phone Number

Email Address

Home Address (if different from above)

Suburb

Postcode

Medical & Care Needs

Does your youth have any medical conditions or allergies that we should know about? *

None

Prescription medication

Chronic illness

Medical allergies

Asthma

Other (Provide details below)

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

Medical Condition Details

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

Swimming Ability *

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

Does your youth have any care needs that we should know about?

Behavioural concerns

Psychiatric care

Sleeping issues/concerns

Other (Provide details below)

Care Needs Details

Yes

Legal Restriction Details

Dietary Requirements

Does your youth have any special dietary needs that we should know about? *

Food allergy e.g. nuts

Dietary Requirements e.g. gluten, dairy

Other (Provide details below)

Dietary Details (also specify allergy or dietary requirement)

Is there anything else we need to know for Youth Camp?

Details:

Privacy Declaration

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

(a) the Youth leaders involved in the running of Youth Camp,

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

Authorisations & Expectations

I give permission for my youth to attend Youth Camp, unless I advise the Lower Mountains Anglican Church Youth Leaders otherwise.
I authorise the Youth Leaders, in the event of an emergency, to obtain at my expense any medical, ambulance, rescue or other services that are considered necessary for my youth.
I acknowledge that being part of a community involves mutual care and consideration, and therefore agree that unacceptable behaviour may result in my youth being sent home.
I will provide the Youth Leaders with any information relevant to the wellbeing of my youth prior to him or her attending Youth Camp. This might include supporting documentation (eg: AVO, Family Court Order) if there is anyone who is legally restricted from seeing your youth, or anaphylaxis/allergy plans, and any medication they are required to take.
I give permission for photos/videos of my youth taken at Youth Camp to be displayed publicly (online and in print) unless I advise the Youth Leaders otherwise.
I confirm that the information given in this form is true and correct, and will advise Lower Mountains Anglican Church of any changes to this information.

Subsidised Cost 2 0

Youth Details

First Name *

Last Name *

Gender *

Date of Birth *

School Grade

Email Address

Mobile Number (if applicable)

Home Address

Suburb

Postcode

Parent/Caregiver 1 Details

This will be the first emergency contact.

First Name *

Last Name *

Phone Number *

Email Address *

Home Address *

Suburb *

Postcode *

Parent/Caregiver 2 Details

This will be the second emergency contact.

First Name

Last Name

Phone Number

Email Address

Home Address (if different from above)

Suburb

Postcode

Medical & Care Needs

Does your youth have any medical conditions or allergies that we should know about? *

None

Prescription medication

Chronic illness

Medical allergies

Asthma

Other (Provide details below)

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

Medical Condition Details

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

Swimming Ability *

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

Does your youth have any care needs that we should know about?

Behavioural concerns

Psychiatric care

Sleeping issues/concerns

Other (Provide details below)

Care Needs Details

Yes

Legal Restriction Details

Dietary Requirements

Does your youth have any special dietary needs that we should know about? *

Food allergy e.g. nuts

Dietary Requirements e.g. gluten, dairy

Other (Provide details below)

Dietary Details (also specify allergy or dietary requirement)

Is there anything else we need to know for Youth Camp?

Details:

Privacy Declaration

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

(a) the Youth leaders involved in the running of Youth Camp,

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

Authorisations & Expectations

I give permission for my youth to attend Youth Camp, unless I advise the Lower Mountains Anglican Church Youth Leaders otherwise.
I authorise the Youth Leaders, in the event of an emergency, to obtain at my expense any medical, ambulance, rescue or other services that are considered necessary for my youth.
I acknowledge that being part of a community involves mutual care and consideration, and therefore agree that unacceptable behaviour may result in my youth being sent home.
I will provide the Youth Leaders with any information relevant to the wellbeing of my youth prior to him or her attending Youth Camp. This might include supporting documentation (eg: AVO, Family Court Order) if there is anyone who is legally restricted from seeing your youth, or anaphylaxis/allergy plans, and any medication they are required to take.
I give permission for photos/videos of my youth taken at Youth Camp to be displayed publicly (online and in print) unless I advise the Youth Leaders otherwise.
I confirm that the information given in this form is true and correct, and will advise Lower Mountains Anglican Church of any changes to this information.