Authorisation The agreement box above is to be checked by the participant if over 18 or by parent/guardian if participant is under 18 years of age and if you agree to the terms below. If you are not sure please contact us to discuss any concerns.
I, the undersigned am willing that my child / myself should participate in the Catholic “Kickstart” camp to be held from Friday night March 23rd to afternoon Sunday 25th 2017. I understand that the nature of the activities during the programme may include but not be limited to workshops, outdoor and indoor group activities, group accommodation, hiking, sports & challenge games , communal eating , socializing, travelling in motor vehicles and that although due care will be taken to minimise accidents, risks may arise during these activities. I hereby authorise the leader in charge of the camp or the particular activity in which my child / myself is involved to consent, where it is impracticable to communicate with me or my nominated contact person, to my child / myself receiving such medical treatment or surgical treatment as the leader may deem necessary at any time during the camp. I hereby authorise and consent Christ the King Parish, its employees, volunteers, agents, officers, and contractors obtaining and administering medical assistance, including first aid, transport, blood transfusion and/or anaesthetic if required and I agree to indemnify Christ the King Parish its employees, volunteers, agents, officers, and contractors for any cost or liability arising out of the performance of any medical procedure in relation to such medical assistance. I further agree to indemnify Christ the King Parish against claims and losses of any kind arising out of or in connection with my / my child’s participation in any activities. I accept responsibility for payment of all expense associated with such treatment. I understand that every effort will be made by the camp leader firstly to contact me / my nominated person in the event of any illness or accident. My child/ I agree to abide by the rules / guidelines of the camp and to participate in all aspects of the program and I will accept full responsibility for costs incurred in removing myself/my child from the programme if they seriously breach any such guidelines.
Please consider this and if you are happy for your young person to attend please tick the agree box above and when you have completed all the details above press the submit button to send it to me. If you have any further questions please do not hesitate to contact me, 03 3582611 or firstname.lastname@example.org Regards, Kaelyn Graham Christ the King Youth Co-ordinator.
CHRIST THE KING CATHOLIC CHURCH 90 GREERS ROAD BURNSIDE CHRISTCHURCH, 8053