Please leave area blank if not applicable

Tip: Specify ANY MEDICAL CONDITIONS, INCLUDING allergies, food allergies or other special needs that the child may have, and outline any management plan. (These details will help us care for the children in the best possible way.) If your son/daughter needs any medication during the time they are away from you, this matter should be discussed with the leader prior to the commencement of the activity. Please include pre-existing conditions include TRIGGERS, RESPONSE PLAN, SIGNS and SYMPTOMS to monitor.

Tip: Please include SUBSTANCE, DOSE, FREQUENCY and the NAME OF PRESCRIBING MEDICAL PRACTITIONER

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 Morwell 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.

By clicking I GIVE PERMISSION you agree that the son/daughter mentioned in this form to be driven by a leader who has a drivers license where the leader either male or female will be on an active Bluetooth phone line to another leader to ensure open communication is active for leader and youth safety. Furthermore in an event of the son/daughter misbehaving or if their behavior poses a danger to himself/herself or other during this, he/she will be picked up from any destination he/she is in and in such circumstances that you will be informed, any and all cost associated with his/her return will be your responsibility.   

The youth leader will contact the 1st emergency contact prior to contacting the youth.

These conversations will be stored in order to keep track of conversations in order to keep everyone safe.

Our first preference will be through text or via our Gap Youth instagram page.

I understand that there will or may be photos and/or videos taken of my son/daughter during the activities and am willing for him/her to be so photographed/recorded in appropriate settings. I am also willing for these photos or footage to be used for information and promotional purposes. My son/daughter is also willing for this to take place.