Emerge Girls Camp 2022 | Vineyard Church

Emerge Girls Camp 2022

VINEYARD Girls YOUTH

Empowering and equipping the youth of the future

FRIDAY 26th august – SUNDAY 28th august 2022

The Davey house

DROP OFF & PICKUP AT THE DAVEY HOUSE

Address will be provided following registration

DROP OFF: 6:30pm Friday 26th August
PICK UP: 3:00pm Saturday 27th August

What it’s all about

This is going to be a fun, impactful weekend where friendships will be strengthened and a space to share about what it is to be woman with the influence of mothers and women speaking identity and purpose to the youth.

Girls will be dropped off and picked up from The Davey Home in Windsor – (Address to be supplied upon registration).

The Girls Emerge Camp starts Friday 6:30pm 26th August and finishes Saturday 3pm, 27th August. All meals and activities included, with first aid on site if necessary

WHAT TO BRING

PJs, Ugg boots / slippers
Toiletries
Clothes for 1 day
Bible and Notepad
Sleeping bag and pillow
Bath towel

WHAT’S INCLUDED

ACCOMMODATION
The Davey Home in Windsor

FOOD
All meals

COST

$40 per person

Registrations Close 7th August

MORE INFO?

Contact Bec Davey on 0432 397 755
Email questions to Bec.Davey@vineyardchurch.com.au

This is a drug and alcohol free camp.
Any violation of this will result in the young person being sent home.

REGISTRATION FORM

First Young Person Details
Name*
First Last
Date of Birth*
DD slash MM slash YYYY
Mobile*
Gender*
Grade at school in 2022
Medicare Number*
Medical Conditions / Allergies / Medications / Dietary Requirements
I herby give permission for the first aid staff to administer paracetamol to my child if deemed necessary*
- Yes
- No
Second Young Person Details
Name
First Last
Date of Birth
DD slash MM slash YYYY
Mobile
Gender
Grade at school in 2022
Medicare Number
Medical Conditions / Allergies / Medications / Dietary Requirements
I herby give permission for the first aid staff to administer paracetamol to my child if deemed necessary
- Yes
- No
Third Young Person Details
Name
First Last
Date of Birth
DD slash MM slash YYYY
Mobile
Gender
Grade at school in 2022
Medicare Number
Medical Conditions / Allergies / Medications / Dietary Requirements
I herby give permission for the first aid staff to administer paracetamol to my child if deemed necessary
- Yes
- No
Fourth Young Person Details
Name
First Last
Date of Birth
DD slash MM slash YYYY
Mobile
Gender
Grade at school in 2022
Medicare Number
Medical Conditions / Allergies / Medications / Dietary Requirements
I herby give permission for the first aid staff to administer paracetamol to my child if deemed necessary
- Yes
- No
Parent / Guardian Details
Parent / Guardian Name*
First Last
Email*
Address*
Street Address Address Line 2 Suburb ZIP / Postal Code
Mobile*
Emergency Contact Name*
Emergency Contact Phone*
Do you wish to receive communication on upcoming Vineyard Youth events via email or SMS?*
I the Parent/Guardian consent to the following with respect to the youth registered in this form*
I acknowledge that by submitting this form, that participation at this event may be hazardous, and that my child participates at his/her own risk. I understand that Vineyard Church will take reasonable steps to provide a safe environment for my child. I acknowledge that Vineyard Church will not be held liable for any injury that may be suffered by my child which arises either directly or indirectly in connection with this event. I hereby agree to indemnify Vineyard Church against any and all claims arising from, or in connection with, any injury that may be suffered by my child, or that my child may cause to another person, as well as any loss or damage to property, equipment or personal effects belonging to my child or any other person out of connection to this event. I agree that Vineyard Church may authorise on my child’s behalf whatever medical treatment he/she may require. (This includes, but is not limited to, ambulance attendance and hospital treatment) I agree to pay all medical expenses incurred.
Payment Details
Emerge Boys Camp 2022 Registration Fee*
Price: $ 40.00
Includes online processing fee

REFUND / CANCELLATION POLICY

You are able to transfer your registration to another person at no extra cost but unfortunately no refunds will be given. It will be up to the registrant to find a replacement for transfer.

Vineyard Church

357 Windsor Road, Vineyard NSW

02 4574 6100

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VINEYARD Girls YOUTH

FRIDAY 26th august – SUNDAY 28th august 2022

REGISTRATION FORM

First Young Person Details

Second Young Person Details

Third Young Person Details

Fourth Young Person Details

Parent / Guardian Details

Payment Details