Adventurer Camporee staff and Volunteer Form

Details of Person Completing Application- Volunteer/Staff Registration form

First Name

Last name

Phone

Address

Address Line 1

Address Line 2

City

State

Post Code

Role/Area that I will be volunteering in.

Please state any dietary requirements

Working With Children’s Check (WWCC)

Those attending who are 18 years + and volunteering at the Adventurer’s Camporee please provide your up-to-date WWCC and Ad safe details below. If you have more than 3 adults (18+) attending email extra WWCC and Ad safe details to bernicebrown@adventist.org.au.

Adult 1: First Name

Last name

DOB

WWCC (including number and letters)

My Adsafe training is up to date:

Adult 2: First Name

Last name

DOB

WWCC (including number and letters)

My Adsafe training is up to date:

Adult 3: First Name

Last name

DOB

WWCC (including number and letters)

My Adsafe training is up to date:

Individual Details

Please list below ALL family members who will be attending, including yourself. Eight people is the maximum allowed per site. Volunteers/staff will only be charged $1 however if your children would like to take part in the program please choose the appropriate choice for their age in the dropdown box. Thank you.

First Name

Last Name

Age as of Oct 10

First Name

Last Name

Age as of Oct 10

First Name

Last Name

Age as of Oct 10

First Name

Last Name

Age as of Oct 10

First Name

Last Name

Age as of Oct 10

First Name

Last Name

Age as of Oct 10

Accommodation Fees

Please note that the accommodation fees are charged in addition to the Camporee Fees. All accommodation is to be organised directly with Yarra Holiday (Stuarts Point) Campground on (02) 6569 0576. When booking through Yarra Holiday Park please state your club to ensure that you are camping with your club.

Please leave bikes, scooters skateboards and the like at home.

Consent & Release

Please enter your full name and tick the consent & release box. By ticking this box you acknowledge that both you and those you are registering on behalf of have read and agree to the terms and conditions. This includes risk awareness, code of conduct, medical treatment and our refund policy.

Full Name

Consent and Release

Photo Consent

I understand and agree that the staff of the tent have permission to take photographs and video of my child to be used for marketing purposes unless a signed letter is provided.

If I do not consent, I accept that it is my responsibility to provide the North NSW Children’s Ministries Department with a clear photo of my child and a signed letter stating no photos are to be taken. The photograph and letter will be kept strictly confidential and used for identification purposes only. Please contact Bernice Brown at bernicebrown@adventist.org.au. If you do not do this prior to camp, it will be assumed it is now safe to take photos of your child.

I agree

Yes

Parent/Guardian Supervision Agreement

Please enter your full name and tick the Parent/Guardian Supervision Agreement box. By ticking this box you acknowledge that you, the parent/guardian, is fully responsible to actively supervise the child/ren in your care at all times while attending Adventurer & Family Camporee.

Full Name

Parent/Guardian Supervision Agreement

Full Name

Parent/Guardian Supervision Agreement

I have read and agree to the Terms and Conditions.

Payment Details:

Please note paid items shown as $0 or free will not appear on the statement below but will be stored in our registration records.

Discount Code (If Applicable)

Apply Coupon

Pay with Card (Stripe)