Clone of Transit Outing at Adrenaline Vault Cockburn Registration Form

Join us for The Rocks Transit outing at Bounce Inc Cannington!

OUTING DETAILS

Date: Sunday, 22 March 2026

Location: Bounce Inc Cannington

Cost: $30 (includes a 1.5-hour bounce session and grip socks)

Church Locations:

The Rocks Cannington – 26 Cecil Ave, Cannington WA 6107
The Rocks Baldivis – 422 Baldivis Rd, Baldivis WA 6171

DROP OFF

Cannington:

Drop-off at The Rocks Cannington foyer between 8:15–8:30am.

Students will walk as a group to and from Bounce Inc Cannington with Transit leaders. Bounce is approximately 900m from The Rocks Cannington (around a 15-minute walk).

Baldivis:

Drop-off at The Rocks Baldivis foyer between 8:00–8:15am.

A minibus will be provided for transport to and from the event.

If you plan to transport your child yourself, please inform Paige on 0402 330 100 before the event.

PICK UP

Cannington:

12:05pm – Foyer area (after the second gathering finishes)

Baldivis:

12.10pm - Foyer Area.

ITINERARY

9am - 10.30am:

Bounce session (1.5 hours – socks provided)

10.30am - 11.30am:

Lunch at Hungry Jack’s (located directly in front of Bounce)

Please ensure students bring money to purchase their own lunch.

RSVP closes Tuesday, 17th March 2026.

Registration*

Ticket

This ticket includes a 1.5-hour bounce session and grip socks. Lunch at Hungry Jack’s is not included.

$30.00AUD Quantity

Total

$0.00AUD

Student's Name*

First NameLast Name

Date of Birth*

DayMonthYear

MaleFemaleI'd prefer not to say

School Year*

CanningtonBaldivisI don't regularly attend The Rocks Church

Does your child have any allergies or medical conditions? If so, please provide details, including any prescribed medication and essential instructions for proper care. Please include dietary requirements as well.*

Please ensure that you bring any prescribed medication necessary for your student. Our onsite First Aid Officer/s will assist with these medications at this event.

YesNo

Student's Name*

First NameLast Name

Date of Birth*

DayMonthYear

MaleFemaleI'd prefer not to say

CanningtonBaldivisI don't regularly attend The Rocks Church

School Year*

Does your child have any allergies or medical conditions? If so, please provide details, including any prescribed medication and essential instructions for proper care.*

Please ensure that you bring any prescribed medication necessary for your student. Our onsite First Aid Officer/s will assist with these medications at this event.

YesNo

Emergency Contact Information

In the case of an emergency, we will contact this person.

Emergency Contact's Name*

First NameLast Name

Emergency Contact's Mobile Number*

Emergency Contact's E-mail*

example@example.com

Relationship*

YesNo

Parent/Guardian Declaration

By signing this form, I agree to the following:

I give permission for my child to be included in any footage/photographs taken throughout the outing. These may be used for public distribution e.g. church website and camp or The Rocks Transit promotions.

I acknowledge that the activities can be hazardous and that my child participates at his/her own risk.

I agree that THE ROCKS Transit or THE ROCKS 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.

I understand that THE ROCKS Transit and THE ROCKS Church will take reasonable steps to provide a safe environment for my child and to ensure that all equipment supplied by them for the activity is of a reasonable standard.

I am willing to come and collect my child if, for any reason, Transit leaders believe that is necessary.

I hereby release THE ROCKS and The Rocks Transit, its staff and volunteers, from any and all liability, claims, demands, causes of action and possible causes of action whatsoever arising out of or related to any loss, damage or injury (including death) that may be sustained to or by my child while participating in or travelling to and from this event.

I hereby give permission for my child to attend The Rocks Transit outing on 22nd March 2026 at Bounce Cannington.

Should you for any reason decide to withdraw your registration, a full refund will be offered minus any credit card or booking fees if cancelled by Sunday 15th March 2026. No cancellations are permitted after this date and only registration transfers will be permitted.

TRANSIT STUDENT Declaration

I will be attending Transit Outing 2026 and abide by all the rules as they are set down. I will not leave the property without proper authority. I understand that this is an alcohol, smoking, illicit drugs and weapons free event.

Date*

Date

Parent/Guardian Signature*

Transit Outing : Bounce Cannington

Student 1

Student 2