Please read the following instructions prior to filling this form out 

• .Make sure you fill in a seperate form if you have more than one individual attenting
• By filling this form you agree to the Church safety policies and procedures enforced by the church for this event

If during an activity, urgent medical attention is required by my son/daughter and I cannot be contacted, I authorize the relevant leader to take such action as may be necessary and I agree to indemnify Eternity Church and its leaders from all responsibility relating to the action. An ambulance may be called in the case of a medical emergency, which the parent/caregiver will presume all responsibility for. If an ambulance is called, a parent/caregiver will either travel with the ambulance, or meet the child/young person at the hospital. I understand if I fail to neglect to provide sufficient or current information in writing to enable the proper treatment of my son/daughter, no liability will be accepted for any injuries or illness which he/she may suffer as a result.

I acknowledge that my son/daughter has permission to be involved in scheduled activities as advertised in the church calender and/or other publications involving this Youth Camp. I will ensure that a leader is in attendance before leaving my son/daughter at any program session. I will accurately complete any  "sign in/out procedures at the program" that may be available at the program session (only you, or the person authorized by you on this form, will be able to collect your child at the end of this session.) I will collect my son/daughter as soon as possible at the conclusion of any program session. I will attend to, collect or remove my son/daughter immediately if requested to do so for reason misbehaviors, illness, injury or any other emergency situation. 

Please Pay $150

ACC Name: Apostolic Church Trust

BSB: 033643

ACC NO: 153925

Description: Initial, Last Name HM2026

Please text Joshua Wright on 0478911099 once paid deposit.