I am aware in signing this document for my child's participation in this program that certain elements of the program could be physically and emotionally demanding. Furthermore, I understand that certain inherent risks and dangers may exist in the activities in which my child will be participating. I acknowledge that while Scripture Union and its leaders will make every reasonable effort to minimise exposure to known risks, all hazards and dangers associated with these activities cannot be foreseen or may be beyond the control of Scripture Union, its leaders and staff. In the event of an emergency where my nominated contact people are unavailable:

• I authorise the leaders to obtain medical advice and/or assistance which they deem necessary.
• I further authorise qualified practitioners to administer anesthetic if required.
• I accept all operation, blood transfusion and/or anesthetic risks involved in the event that such procedures are deemed necessary.
• I accept the responsibility for payment and agree to pay medical, transport, and any other related expenses.
• I confirm that the information contained in this application is true and correct.
• I agree to inform the leader of any change to these details

I understand that the camp leaders will take all responsible care of my child whilst at camp and that SU WA or its representatives will not be liable in any injury or accident, or for damage or loss of property. I understand that in cases of unacceptable behavior, campers will be sent home from camp.

I understand that, if I withdraw from camp, the deposit ($50 for Holiday Camps, $150 for Leavers Ningaloo and Leavers Road Trip, $500 for Leavers Ubud (Bali) and Leavers Melbourne) is non-refundable