DPC Kids Camp 2025
25 April, 2025 1:00 PM - 27 April, 2025 12:00 PM
Type
Price
Quantity
Attendee
Price
$100.00
Quantity
Leader
Price
$100.00
Quantity
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Attendee
0
Your Child's Details
First Name
*
Last Name
*
Gender
Male
Female
Date of Birth
Parents Phone Number
School Grade
-- None --
Kindy
Prep
1
2
3
4
5
6
7
8
9
10
11
12
School
Dietary requirements?
Child Medical Note 1 - Critical issues
Child Medical Note 2 - Allergies & Intolerances
Severity of Allergy
High (Will need immediate medical attention)
Moderate (Regularly checked on and may need medical attention)
Mild (Regularly checked on but no urgent medical attention is needed)
Child Medical Note 3 - Other health/behaviour issues
Is your child taking any regular medications? If so what medications and how often? Please bring their medication in a labelled bag.
Swimming Ability
Can swim (fine to swim on their own with supervision)
Moderate swimmer (will need an adult in the water with them)
Can't swim
Is the child subject to a custody order? (If so, please provide details to the Coordinator or Pastor)
No
Yes
Medicare Number
*
Photography Approved for the Child
*
Photograph and publish (inc church website and social media)
Photograph and share on closed social media
Photograph and display in church
Do not photograph or publish images
Transport Approved for the Child
*
Travel with a open-licensed leader driving the vehicle
Travel with provisional license holder (leader in vehicle)
Parent/Caregiver Details
Child Emergency Contact & Relationship
*
Child Emergency Phone Number
*
Leader
0
Your Child's Details
First Name
*
Last Name
*
Gender
Male
Female
Date of Birth
Parents Phone Number
School Grade
-- None --
Kindy
Prep
1
2
3
4
5
6
7
8
9
10
11
12
School
Dietary requirements?
Child Medical Note 1 - Critical issues
Child Medical Note 2 - Allergies & Intolerances
Severity of Allergy
High (Will need immediate medical attention)
Moderate (Regularly checked on and may need medical attention)
Mild (Regularly checked on but no urgent medical attention is needed)
Child Medical Note 3 - Other health/behaviour issues
Is your child taking any regular medications? If so what medications and how often? Please bring their medication in a labelled bag.
Swimming Ability
Can swim (fine to swim on their own with supervision)
Moderate swimmer (will need an adult in the water with them)
Can't swim
Is the child subject to a custody order? (If so, please provide details to the Coordinator or Pastor)
No
Yes
Medicare Number
*
Photography Approved for the Child
*
Photograph and publish (inc church website and social media)
Photograph and share on closed social media
Photograph and display in church
Do not photograph or publish images
Transport Approved for the Child
*
Travel with a open-licensed leader driving the vehicle
Travel with provisional license holder (leader in vehicle)
Parent/Caregiver Details
Child Emergency Contact & Relationship
*
Child Emergency Phone Number
*