Camp Registration Form

Youth Camp 25'
Youth Arise and Alive Sparks are thrilled to announce our Summer Camp for 2025! This camp is for young people from all backgrounds in school years 7 to 12 (12-18-year-olds) in 2025.

We're so excited to create an environment where youth can have fun, connect, and encounter the love of God. This year, we’re heading to Log Cabin Creswick Campsite from the 20th to 22nd of January. It's a new location with more space, facilities, and a greater capacity to make this camp our best yet. We're planning a range of fun activities, team games, worship, and opportunities to hear from God.

The cost for the camp is $200 per person, covering all meals, accommodation, and activities. We encourage everyone to sign up soon, and we look forward to seeing your young person there!
Camper Information

Please submit one form per camper
Camper Name*

First NameLast Name
Camper E-mail
example@example.com
Camper Phone Number*
Please enter a valid phone number.
Camper Current Age*
Camper Gender*

MaleFemale
Camper School Grade for 2025*
Which Youth group does the camper attend?*
Does the camper have any Allergies or other Medical Conditions?*

YesNo
Please specify (Allergies or other Medical Conditions)*
Does the camper have any dietary needs?*

YesNo
Please specify (Dietary Requirements)*
We're excited to offer exclusive camp T-shirts and merch this year! Let us know if you're interested by selecting your preferred items and sizes below.

Please note that there will be a cost associated with each item, which will be confirmed soon.
Are you interested in purchasing a camp T-shirt?*

YesNo
T-Shirt Size *

Parent / Primary Carers

This contact will serve as the primary point of communication
Parent Name*

First NameLast Name
Parent E-mail*
example@example.com
Parent Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

SuburbState

Post Code
Does your child/children have any health concerns or medications?*

YesNo
Does your child/children have custody arrangements?*

YesNo
Emergency Contacts

In addition to the parents above, these people are authorized to pickup the children from theprogram and can be contacted in an emergency if the parent/s are not contactable.
Emergency Contact Name*

First NameLast Name
Emergency Contact E-mail*
example@example.com
Emergency Contact Number*
Please enter a valid phone number.
Please select the church you will be making your payment to:*

Lifespring ChurchAlive Church
PAYMENT DETAILS

Lifespring Church
Account Name: Lifespring Church Inc
BSB: 063-125
Account Number: 11203742
Reference: "Insert Child Name" YC 25
PAYMENT DETAILS

Alive Church
Account Name: Alive Church
BSB: 063-556
Account Number: 10254780
Reference: "Insert Child Name" YC 25

Application Consent

Please go through this section in detail before signing and submitting the form
I, the undersigned, understand and acknowledge the following:

Emergency Contact Information:
I have provided accurate emergency contact details, including my phone number, an alternate contact person, and their phone number. In the event of any emergency, I authorise the camp staff to contact me or the alternate contact provided.

Medical Authorisation & Indemnity:
I authorise the organisers of the Youth Camp, Lifespring Church and Alive Church, to arrange for my child/ward to receive any necessary first aid, medical, or surgical treatment while in their care. This includes the use of an ambulance and/or anaesthetic as deemed necessary by a qualified medical practitioner. I accept full responsibility for any associated costs. Additionally, I agree to indemnify and hold harmless the churches, their denominations, and any individual staff or voluntary leaders against all claims arising from any injury to my child/ward during camp activities, except in cases where there is a failure of duty of care by the organisers.

Camp Rules and Expectations:
I have reviewed and discussed with my child/ward the rules, expectations, and code of conduct for the Church Camp. I understand that my child/ward is expected to adhere to these guidelines throughout the camp.

Photo, Video, and Media Release:
I give permission to the organisers, Lifespring Church and Alive Church, to take photographic, digital images, video, and audio recordings of my child/ward. These may be used collectively or separately across various platforms, including but not limited to publications, newsletters, websites, social media, live streaming, broadcast, and other promotional material, both electronic and print, for current and future editions.

Transportation and Off-Site Activities:
I authorise camp staff to provide transportation for my child/ward as necessary for camp activities, including travel to nearby facilities, if required. I understand that all safety precautions will be taken during any transportation.

Viewing Media Content:
I consent to my child/ward viewing videos or movies rated 'G' (General). I understand that all content will be pre-screened by a leader for suitability.

Liability Release:
I release Lifespring Church, Alive Church, their staff, volunteers, and affiliates from any liability for injuries, accidents, or loss of personal property that may occur during the Church Camp, unless arising from negligence on their part.

By signing below, I confirm that I have read, understood, and agree to the terms and conditions outlined in this consent form. I hereby give permission for my child/ward to participate in the Youth Camp and all its activities.
Should be Empty:

Youth Camp 25'

Camper Information

Parent / Primary Carers

Emergency Contacts

Application Consent