Attend Camp | The Younger Heroes

Which camp would you like to register for?

Select Camp Date *

UKI (Northern NSW): 26-28 March 2021
Adelaide (SA): 16-18 April 2021
Tasmania: 14-16 May 2021
UKI (Northern NSW): 11-13 June 2021
Sydney (NSW): 9-11 July 2021
Perth (WA): 13-15 August 2021
UKI (Northern NSW): 24-26 September 2021
UKI (Northern NSW): 15-17 October 2021

Participant

Details of the child attending the camp. Child age must be 8-16 years of age.

Child's Name *

First

Last

Date of Birth *//

Age *

Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Parent / Guardian (who will be accompanying the child)

Details of the child's Parent/Gaurdian

Name *

First

Last

Profession *

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Emergency Contacts

In the event of an emergency the parent/guardian will be contacted first. Please provide a second contact in case they cannot be reached.

Emergency Contact #1 *

Relationship *

Phone *

Emergency Contact #2

Relationship

Phone

Waiver

Please note, this is an Accident Release, First Aid, Media (including Social Media) and Financial Responsibility Wavier

Medical/Physical Limitations

Please list any medical/physical limitations (allergies, phobia etc.) or other concerns pertaining to your child:

Additional Notes

Please add any additional notes about you would like to include

Waiver Acknowledgement *

I have read and agree to the Accident Release, First Aid, Media and Financial Responsibility Waiver listed below

I authorize and grant permission for a representative of The Younger Heroes to treat minor injuries including scrapes, small cuts, splinters, and insect bites, ideally in the presence of a parent or guardian. I authorize and grant permission for a representative of The Younger Heroes to obtain emergency medical care from any licensed physician or hospital and/or medical clinic should my child become ill or injured. I therefore freely and voluntarily execute this release with such knowledge, assume the risk of personal injury and/or property loss arising from or in any way connected with participation in any programs offered by The Younger Heroes. I hereby release and discharge The Younger Heroes and any and all staff and volunteers from any liability, claim, cause of action, demand or damages from injury or damages of any kind to my child or my property as a result of participation in the programs of The Younger Heroes. I grant permission and understand that photos and other images taken during this event could be used in print advertisement and other forms of media. I understand that should my child become a disruptive force during the educational program that the instructor may choose to release him/her from the program with no refund.

I acknowledge as part of the program, camp participants will be required to engage in some level of self-disclosure to the level they are comfortable with. During this process, if personal issues arise we may initiate appropriate services and or support to assist any impacted person in order to render safe/assistance. In addition, every attempt will be made to maintain your privacy and confidentiality in this cohesive and supportive group environment.

Camp Participation Fee *

Upon acceptance to a camp, I consent to receive an invoice for the $500 Participation Fee.

Signature *

With my signature, I agree and understand that it is my responsibility to offer more than 4 weeks notice for cancellation.

Attend A Camp

What To Expect

Program Schedule

How much does it cost?

Sign-Up for a Camp

Which camp would you like to register for?

Participant

Parent / Guardian (who will be accompanying the child)

Emergency Contacts

Waiver