Christ the King Parish, Burnside
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    ​Christ the King KickStart Youth Camp 2019 Registration Form

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    Please an emergency contact phone number that a parent/gaurdian might be contacted on in the unlikely event of an accident or sickness
    If you have one please add a second emergency contact phone number that a parent/gaurdian might be contacted on in the unlikely event of an accident or sickness
    Can you help with transport, all drivers need to be appropriately licensed and cars having a current WOF, insurance and registration
    I acknowledge this and understand that steps will be taken to reduce the risk to acceptable levels. I understand that attempts will be made to contact me in the unlikely event of medical treatment being needed but consent to urgent medical treatment being administered as appropriate.
Submit
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 February 22nd to Sunday afternoon 24th February 2019.  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 ctkyouthnz@gmail.com
Regards,
Kaelyn Graham
Christ the King Youth Co-ordinator.
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CHRIST THE KING CATHOLIC CHURCH
90 GREERS ROAD, BURNSIDE
CHRISTCHURCH, 8053

ph: (03) 358 2611
© COPYRIGHT 2015. ALL RIGHTS RESERVED.
  • Home
    • Parish Team
    • Groups and Ministries
    • Rosters
    • Useful Links
  • Christmas Mass Times
  • Mass Times
  • Bulletins
  • Sacraments
  • Alpha Programme
    • Alpha Programme Registration Form
  • Youth & Young Adults
    • Senior Youth Group
    • Junior Youth Group
    • Core Teams - Leadership
    • Young Adults Group & Tertiary Chaplaincy
    • Youth Co-Ordinator Contact
  • RCIA - Becoming Catholic
  • Safeguarding
  • Upcoming Events
  • Contact
    • Priests' Contact Details