2026 - Golden You Leadership Youth Enrolment Form

Golden You Leadership Youth Enrolment Form

2027
Participant's Details:
Full Name:

First NameMiddle NameLast Name
Preferred Name:
Contact Number:
Email Address:
example@example.com
Home Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Gender
Are you of Aboriginal or Torres Strait Islander descent?
Nationality
Does the participant have any allergies, chronic illness, or medical conditions? If yes, please describe in detail below.
Does the participant have any food allergies, If yes, please describe in detail below.
Date of Birth:
Age:
How old will you be at camp?
Which school does participant attend?
Choose your Program:
Unisex Shirt Size
Have you attending a Golden You Leadership camp before? If so, which camp?
Do you know anyone attending this camp? If so, who?
Please type their name, this will help us to make team groups for camp.
Tell us about yourself...

To be completed by the student. The more details the better! This helps us to pair you with the most suitable Mentor & team mates!
Share some information about yourself with us. Please add as much details possible. This helps us to get to know you!
To be filled in by the student
The person who inspires me the most is...... and why?
To be filled in by the student
What do you think is your greatest strength & weakness?
To be filled in by the student
Parent / Legal Guardian's Details:
Full Name:

First NameLast Name
Mobile Number:
Format: (000) 000-0000.
Work Number:
Or any additional Contact NumberFormat: (000) 000-0000.
Email Address:
example@example.com
Home Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Information (Must be different to the primary contact listed above)

First NameLast Name
Relationship
Mobile Number:
Format: (000) 000-0000.
CONFIDENTIAL - Is there anything we should know about your child? This information is confidential and is used to help place your child with the most suitable mentor during the camp. It also allows us to make sure we are providing the right support for your child during camp.
CONFIDENTIAL - Has there been any significant events happen in your child's life over the last 12 months that we should be aware of?

Optional products for purchase

GYL duffle bag$110.00 AUD

GYL branded duffle bag - perfect for camp! 27 H x 58 W x 24 L cm dimensions

Quantity

GYL water bottle$20.00 AUD

GYL branded water bottle

Quantity

GYL Window decal$10.00 AUD

Golden You Leadership car sticker - White

Quantity

CAMP DEPOSIT

CAMP DEPOSIT$50.00 AUD

This deposit is a one-off payment, refundable up until 4 weeks prior to camp.

Total $0.00 AUD

Payment Methods

Credit Card

Apple Pay

Terms and conditions

Please take the time to read through the below information before signing.
Registration and Cancellation Terms

A non-refundable registration fee of $50 is required to confirm each participant’s place at camp. This fee contributes towards enrolment administration, camp preparation and the participant’s camp shirt.

If your young person can no longer attend, please notify Golden You Leadership as soon as possible so their place can be offered to another young person. The $50 registration fee will not be refunded if a participant cancels or does not attend. Participants who cancel may still arrange to collect their camp shirt.

If Golden You Leadership cancels the camp, the registration fee will be refunded in full. Exceptional circumstances may be considered at the discretion of Golden You Leadership.

For cancellations or enquiries, please email meghan@goldenyou.com.au or call 0438 700 117.
Photographs and Video Consent:
or

Parent’s/ guardians grant full consent to Golden You and/or their agents to have photographs and videos taken of their child/children for marketing and social media purposes. These photographs / digital images will be used on social media websites, in printed publications or materials, in electronic publications and on the company website. Golden You undertakes not to publish any names or personal information relating to the children on any social media website, or in any printed or electronic publication without prior written consent of the parent / guardian.Parents /guardians will not be entitled to any compensation for photographs taken of their children.
Camp Participation

Golden You Leadership reserves their rights to refuse a student access to a camp, or remove the student from the camp in the event that their conduct is of such disruptive and/or intolerable nature that it renders the continuation of the workshp / camp impossible, and/or disrupts other students. This camp will then be forfeited. Parents / legal guardians will be contacted to arrange transportation home. No refund will be given.
Agreement with Golden You Leadership

I am aware in signing this document that my child and/or the child or young person that I am the caregiver for (hereinafter referred to as ‘my child’) could, by participating in this program, be exposed to certain elements of the program that could be physically and emotionally demanding.

Furthermore, I understand that certain inherent risks and dangers may exist in the activities in which my child will be participating and that these risks and dangers can cause injury, damage, or other loss. I acknowledge that while Golden You Leadership will make every reasonable effort to minimise exposure to known risks, all hazards and dangers associated with these activities cannot be foreseen or may be beyond the control of Golden You Leadership, its mentors and volunteers, and its staff.

I understand that Golden You Leadership will take all responsible care of my child whilst at camp and that Golden You Leadership will not be liable in any injury or accident, or for any damage or loss. While it is our policy to contact and consult with parents/guardians when outside medical help is required for my child, I recognise that some medical emergencies are time-critical and a delay may result in death or permanent disability. Therefore, in the event of a time-critical and/or life-threatening emergency:

(1) I authorise Golden You Leadership to arrange for medical care and treatment by qualified practitioners (including but not limited to evacuation, hospitalisation, blood transfusions, anaesthetic, surgery, and medications).

(2) I authorise Golden You Leadership to transport my child (or arrange for transport) to a medical facility.

(3) I accept all the risks inherent in the medical care and treatment, and transportation, referred to in 1. and 2.

(4) I agree to pay all costs associated with the medical care and treatment, and transportation, referred to in 1. and 2.

(5) I agree to the release by Golden You Leadership of any information or records necessary for the medical care and treatment, transportation, any referral, billing, or for other relevant purposes.

I understand that in cases of unacceptable behaviour, campers will be sent home from camp.

I confirm that the information contained in this application is true and correct and agree to inform Golden You Leadership of any change to the details I have provided.
I have read and agree to the terms and conditions of sending my child to participate in Golden You Leadership Camp, including the non-refundable registration fee.
Full Name and Surname of Parent/ Guardian:

First NameLast Name
Signature
Date:

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Should be Empty:

Golden You Leadership Youth Enrolment Form

Participant's Details:

Tell us about yourself...

Parent / Legal Guardian's Details:

Optional products for purchase

Payment Methods

Terms and conditions