NCYC something in the water rego • Goodlife Church

Early bird Male cabin 0

NCYC "something in the water" 2026 Rego Form

First Name *

Last Name *

Date of Birth *

Gender *

Youth Group *

Other Youth Group

Mobile Number *

Email Address *

Emergency Contact Name *

Emergency Contact Number *

Emergency Contact Relationship *

WWCC Number (required for all over 18s) *

I am a Youth leader or volunteer *

Wellbeing

Does your child/ren have any food allergies or dietary requirements? *

Yes

No

If you answered yes to the question above, please share details.

Please list any medical conditions or medications we need to be aware of in order to care for your child/ren.

If you included information in the box above please provide your email so we can request a medical plan if necessary.

Anything else you would like us to know to care for your young person well?

Do you give permission for your youth to swim at camp? *

Yes

No

Do you give permission for photos of your young person to be used for social media and future event promotional material? *

Yes

No

Merch

Ticket type *

Shirt size

Parent Permission and Release

I give permission for camp volunteers to obtain emergency medical or ambulance service at any time they consider necessary for my child/ren. I understand that every effort will be made for myself to be notified before instituting such procedures. I acknowledge that I will be liable for any medical/hospital/ambulance expenses incurred in the treatment for my child. I give permisson for first aid volunteers to give my child paracetamol if neccessary for pain releif. I also understand that while every precaution will be taken to ensure the protection of my child, camp organisers and volunteers are released from any and all liability in the event of any accident or misfortune, damage or loss that may occur to the child and their property. New Culture Youth Camp is a drug and alcohol-free event.

Do you agree to the above? *

Yes

No

Early bird Female cabin 0

NCYC "something in the water" 2026 Rego Form

First Name *

Last Name *

Date of Birth *

Gender *

Youth Group *

Other Youth Group

Mobile Number *

Email Address *

Emergency Contact Name *

Emergency Contact Number *

Emergency Contact Relationship *

WWCC Number (required for all over 18s) *

I am a Youth leader or volunteer *

Wellbeing

Does your child/ren have any food allergies or dietary requirements? *

Yes

No

If you answered yes to the question above, please share details.

Please list any medical conditions or medications we need to be aware of in order to care for your child/ren.

If you included information in the box above please provide your email so we can request a medical plan if necessary.

Anything else you would like us to know to care for your young person well?

Do you give permission for your youth to swim at camp? *

Yes

No

Do you give permission for photos of your young person to be used for social media and future event promotional material? *

Yes

No

Merch

Ticket type *

Shirt size

Parent Permission and Release

I give permission for camp volunteers to obtain emergency medical or ambulance service at any time they consider necessary for my child/ren. I understand that every effort will be made for myself to be notified before instituting such procedures. I acknowledge that I will be liable for any medical/hospital/ambulance expenses incurred in the treatment for my child. I give permisson for first aid volunteers to give my child paracetamol if neccessary for pain releif. I also understand that while every precaution will be taken to ensure the protection of my child, camp organisers and volunteers are released from any and all liability in the event of any accident or misfortune, damage or loss that may occur to the child and their property. New Culture Youth Camp is a drug and alcohol-free event.

Do you agree to the above? *

Yes

No

Early bird Male cabin + merch 0

NCYC "something in the water" 2026 Rego Form

First Name *

Last Name *

Date of Birth *

Gender *

Youth Group *

Other Youth Group

Mobile Number *

Email Address *

Emergency Contact Name *

Emergency Contact Number *

Emergency Contact Relationship *

WWCC Number (required for all over 18s) *

I am a Youth leader or volunteer *

Wellbeing

Does your child/ren have any food allergies or dietary requirements? *

Yes

No

If you answered yes to the question above, please share details.

Please list any medical conditions or medications we need to be aware of in order to care for your child/ren.

If you included information in the box above please provide your email so we can request a medical plan if necessary.

Anything else you would like us to know to care for your young person well?

Do you give permission for your youth to swim at camp? *

Yes

No

Do you give permission for photos of your young person to be used for social media and future event promotional material? *

Yes

No

Merch

Ticket type *

Shirt size

Parent Permission and Release

I give permission for camp volunteers to obtain emergency medical or ambulance service at any time they consider necessary for my child/ren. I understand that every effort will be made for myself to be notified before instituting such procedures. I acknowledge that I will be liable for any medical/hospital/ambulance expenses incurred in the treatment for my child. I give permisson for first aid volunteers to give my child paracetamol if neccessary for pain releif. I also understand that while every precaution will be taken to ensure the protection of my child, camp organisers and volunteers are released from any and all liability in the event of any accident or misfortune, damage or loss that may occur to the child and their property. New Culture Youth Camp is a drug and alcohol-free event.

Do you agree to the above? *

Yes

No

Early bird Female cabin + merch 0

NCYC "something in the water" 2026 Rego Form

First Name *

Last Name *

Date of Birth *

Gender *

Youth Group *

Other Youth Group

Mobile Number *

Email Address *

Emergency Contact Name *

Emergency Contact Number *

Emergency Contact Relationship *

WWCC Number (required for all over 18s) *

I am a Youth leader or volunteer *

Wellbeing

Does your child/ren have any food allergies or dietary requirements? *

Yes

No

If you answered yes to the question above, please share details.

Please list any medical conditions or medications we need to be aware of in order to care for your child/ren.

If you included information in the box above please provide your email so we can request a medical plan if necessary.

Anything else you would like us to know to care for your young person well?

Do you give permission for your youth to swim at camp? *

Yes

No

Do you give permission for photos of your young person to be used for social media and future event promotional material? *

Yes

No

Merch

Ticket type *

Shirt size

Parent Permission and Release

I give permission for camp volunteers to obtain emergency medical or ambulance service at any time they consider necessary for my child/ren. I understand that every effort will be made for myself to be notified before instituting such procedures. I acknowledge that I will be liable for any medical/hospital/ambulance expenses incurred in the treatment for my child. I give permisson for first aid volunteers to give my child paracetamol if neccessary for pain releif. I also understand that while every precaution will be taken to ensure the protection of my child, camp organisers and volunteers are released from any and all liability in the event of any accident or misfortune, damage or loss that may occur to the child and their property. New Culture Youth Camp is a drug and alcohol-free event.

Do you agree to the above? *

Yes

No

Date & Time

Early bird Male cabin 0

NCYC "something in the water" 2026 Rego Form

Wellbeing

Merch

Parent Permission and Release

Early bird Female cabin 0

NCYC "something in the water" 2026 Rego Form

Wellbeing

Merch

Parent Permission and Release

Early bird Male cabin + merch 0

NCYC "something in the water" 2026 Rego Form

Wellbeing

Merch

Parent Permission and Release

Early bird Female cabin + merch 0

NCYC "something in the water" 2026 Rego Form

Wellbeing

Merch

Parent Permission and Release