SYG Consent + Payment

Youth's Name*

First NameLast Name

Parent/Guardian/Emergency-contact Full Name*

First NameLast Name

Parent/Guardian/Emergency-contact Mobile Number*

Please enter a valid phone number.Format: 0400 000 000.

Parent/Guardian/Emergency-contact Email*

example@example.com

Consent to Medical Attention

Please sign the statement below which is required for all youth attending camp.

I authorise the leader in charge of the camp to consent on my behalf, where it is impracticable to communicate with me, to my youth receiving such medical or surgical treatment as may be deemed necessary and to administer such first aid as the leader in charge may judge to be reasonably necessary.

Signature of Parent/Guardian*

Camp Payment Options – $300 p/youth

Credit CardDirect Debit

Camp Payment

AUD

Payment Methods

Credit Card

Apple Pay

Direct Debit

$300 p/youth

Name: Red Church Melbourne Inc
BSB: 633000
Acc: 232477273

Description: SYG – [family name]

SYG Consent & Payment

Payment Methods