NAC Camporee 2025- Staff Registration
Attendee Information
First Name
Last Name
Gender
– Select –
Male
Female
Address
Address Line 1
Address Line 2
Suburb
State/Territory
Postcode
Postal Address (if different to above address)
Email
Contact Number
Age at Camporee
What Church do you attend:
Ochre/BlueCard or WWCC Card Number:
Ochre/BlueCard or WWCC Card Expiry:
Have you completed both the ‘AdSafe Awareness Training’ & ‘AdSafe Code of Conduct’ online modules’ ?
– Select –
Yes
No
Unsure
Emergency Contact
First Name
Last Name
Relationship to attendee
Contact Number:
Contact Email
Medical Information
Date of Birth:
Swimming Ability (please select)
– Select –
Can’t Swim
Fair Swimmer
Good Swimmer
Excellent Swimmer
Medicare Card (Number)
Medicare (Position Number)
Medicare (Expiry):
Year of your last Tetanus Injection:
Are your immunisations up-to-date?
– Select –
Yes
No
Unsure
Please provide details as necessary. If not applicable to you, please write N/A.
Do you have any Dietary Requirements:
Do you have any Allergies & what is your reaction:
Do you have any Medical Conditions:
Do you take any Medication/s:
Photo Consent
I give consent to photographs and video being taken of my child at Summer Camp 2025 for the purpose of advertising and promotion in various media within the Northern Australian Conference. Children pictured will NOT be named when using these photos:
– Select –
Yes
No
Camp Shirt
Please select your shirt size:
XS
S
M
L
XL
2XL
3XL
4XL
5XL
6XL
Camporee Training
There will be training for all Camporee staff beginning on April 16th, 2025. Will you be available to arrive at camp on this day to assist with set-up and training etc?
– Select –
Yes
No
Unsure
Camp Registration Fee
Please select one:
Staff Fee
No payment items has been selected yet
Pay with Card (Stripe)
First Name
Last Name
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