RETURNING 2025 - Golden You Leadership Youth Enrolment Form

Returning Student - Golden You Leadership Youth Enrolment Form

2025
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?*
Does the participant have any allergies, chronic illness, or medical conditions? If yes, please describe in detail below.*
Date of Birth:*
Age:*
How old will you be at camp?
Which school does participant attend?*
Choose the program you hope to attend.*

Goldfields Youth Camp April 2025Goldfields Youth Camp October 2025Returning student Travelling camp 2025 DATE: Jan 20th - 24th . ***Please note there will be a fee to attend this camp***
Unisex Shirt Size *
Which Golden You Leadership did you attend?*
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
Did the original camp you attend have an impact on your life? If so, please explain how.*
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
Is there anything else you would like us to know when considering your application *
To be filled in by the student
What do you hope you get out of attending a second GYL camp? *
To be filled in by the student
I understand that by completing this form, it does not mean that I have been accepted to camp. Golden You Leadership is required to offer new applicants the opportunity to attend camp prior to returning students. If there is an available position, or last-minute cancellation, Golden You Leadership will then offer the position/s to returning students.*

Yes, I understand.
I understand that if selected for the travelling camp, there will be a fee to attend. Prices to be confirmed*

Yes, I understand.
Parent / Legal Guardian's Details:
Full Name:*

First NameLast Name
Mobile Number:*
Work Number:*
Or any additional Contact Number
Email Address:*
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:*
Terms and conditions

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

7 days notice is requested for week-long camp cancellations. Please be considerate of other youth who have missed out on a placement.

If you can not make this event. Please let us know so that we can offer the position to someone else.

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

I DO NOT consent to having photographs taken of my child / children
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*

The Golden You Leadership Youth Camp will run over 4 nights / 5 days.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.Students are not allowed to leave the camp grounds under no circumstances. The camp will then be forfeited. Parents / legal guardians will be contacted to arrange transportation home. No refund will be given.No bad behaviour / bullying / disrespectful behaviour will be tolerated during the camp. The camp will then be forfeited. Parents / legal guardians will be contacted to arrange transportation home. No refund will be given.Parents / Guardians / Friends are requested to refrain from attending the camp grounds during the conduction of the camp. This is to help your young person gain as much experience as possible while at camp. Camp host is available 24/7 via mobile phone, 0438 700 117, in case of an emergencyGolden You Leadership will hold a closing assembly on the last morning, Friday the 6th of October at 9am. Parents / legal guardians are encouraged to attend.
COVID-19 Declaration

I understand that there will be a COVIDSAFE plan in place for this camp, which my child must agree to.

I acknowledge that in the event that my child shows COVID-19 symptoms during the camp (fever, cough, shortness of breath, sore throat), he/she will be requested to test for COVID-19. If they are found to be positive for COVID-19, I understand that my child will need to leave camp and I am responsible for collecting my child from the camp.

There will be no refund of monies due to a positive Covid-19 result during the camp.
I have read and agree to the Covid-19 terms and conditions*

Yes
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*

Yes, I have read and accept the cancellation terms and conditions
I understand that by completing this form, it does not mean that my child has been accepted into camp. Golden You Leadership is required to offer new applicants the opportunity to attend camp, prior to returning students. If there is an available position, or last-minute cancellation, Golden You Leadership will then make contact with you to offer the position/s to a returning student.*

Yes, I understand.
Full Name and Surname of Parent/ Guardian:*

First NameLast Name
Signature*

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Date:*

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Returning Student - Golden You Leadership Youth Enrolment Form

Participant's Details:

Tell us about yourself...

Parent / Legal Guardian's Details:

Terms and conditions