• SOUTH COAST CHANGEMAKERS FORUM 2026

  • PERMISSION FORM

  • DoB:*
     - -
  • Format: (000) 000-0000.
  • Do you identify as First Nations or Torres Strait Islander?
  • Do you have any dietary requirements?*
  • Are you taking any medication which will need to be administered during the Forum?*
  • Do you have any additional needs or require assistance to make your Forum experience safe and enjoyable?*
  • Do you have any mental health or wellbeing concerns? (If yes, we will get in touch for further details)*

  • PARENT / GUARDIAN EMERGENCY CONTACT INFORMATION

  • Format: (000) 000-0000.

  • PARTICIPANT QUESTIONS - STUDENT TO COMPLETE

  • PARENT / GUARDIAN PERMISSION AND SIGNATURES

  • I give permission for my child to attend the South Coast Changemakers Forum from 4:30pm Friday 27th of November – 3:00pm Sunday 29th November 2026 and I will pay the $50 participant cost.

  • Participant cost to be paid via direct deposit to (Payment due by Friday 13th November 2026):

    Bank: Commonwealth Bank

    Account Name: Sonder Youth Ltd.

    BSB: 062–585

    Account No.: 1097 8824

    Payment Reference: *Participant Name* SCCF

  • Please note: sponsored positions are available. If your child requires financial assistance to attend the Forum please contact the Program Coordinator.
  • Parents/guardians are required to arrange participant transport to and from the event. Participants are required to arrive at Waterslea Conference Centre by 4:30pm on Friday 27th of November and are to be picked up at 3:00pm at Waterslea Conference Centre on Sunday the 29th of November.
  • Please note the South Coast Changemakers Forum is an alcohol and drug free event. There is a zero-tolerance policy for consumption of drugs and/or alcohol, or anti-social behaviour. Students are expected to respect the views of other participants and act within the rules of the community. Parents/guardians will be required to collect participants who breach these guidelines. Sonder Youth Ltd reserves the right to refuse participation in its programs if Sonder Youth Ltd considers that such refusal is reasonably necessary to protect the safety and welfare of other program participants.
  • By signing below, you agree to the above terms and conditions.
  • Date
     - -

  • SWIMMING

  • I give permission for my child to swim in the pool and use the waterslide at Waterslea Conference Centre. This is a private pool and swimmers will be supervised by a lifeguard at all times. Please indicate your child's swimming ability by selecting one of the following:
  • swimming ability by selecting one of the following:*
  • Date
     - -

  • MEDIA RELEASE

  • I give permission for my child to be interviewed/photographed/filmed during the event and understand and agree that any interview/photography/film may be used when publishing and/or promoting the event.
  • Date
     - -

  • FURTHER INFORMATION

  • For further information relating to the South Coast Changemakers Forum please contact the Sonder Youth camp coordinator, Takesa, on 0492 875 797 or at takesa@sonderyouth.com.

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