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LEAD Summer and Junior LEAD camps
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Camping
Holiday Camps
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Young Adults
School Camps
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Pay Your Fee
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CAMP REGISTRATION
Hidden
Camp
*
SUPA Splash
SUPA Splash 2
Odyssey
Sailing Camp
Beach Camp
Beach Camp 2
Glen Echo 1
Glen Echo 2
Glen Echo 3
Glen Echo New Year
MTB Blast
Read our
Holiday Camp Application Process
for information and FAQs regarding the registration process
SUPA Splash
Who: Years 4 – 6 in 2021
When: January 2 - 7 2022
Where: Camp Geographe, Busselton
Cost: $450 ($430 before Dec 1)
Transport: Included
Team Leader: Lachlan Anderson
SUPA Splash 2
Who: Years 4 – 6 in 2021
When: Jan 2022
Where: Camp Geographe, Busselton
Cost: TBC
Transport: Included
Team Leader: TBC
Odyssey
Who: Years 7 – 9 in 2021
When: January 9 - 14 2022
Where: Camp Geographe, Busselton
Cost: $440 ($420 before Dec 1)
Transport: Included
Team Leader: Emily Brough and Sally Messenger
Sailing Camp
Who: Years 10 – 12 in 2021
When: January 16 - 23 2022
Where: Camp Geographe, Busselton
Cost: $480 ($460 before Dec 1)
Transport: Included
Team Leader: Steve and Laura Bezant; Bruce and Kirsten Williams
Beach Camp
Who: Years 10 – 12 in 2021
When: January 9th - 16th 2022 (extra day added!)
Where: Alfred Hines Seaside Camp
Cost: $510 ($490 before Dec 1)
Transport: Make your own way or pick up from Rockingham train station
Team Leader: Chris Page and Kat Ollis
Beach Camp 2
Who: Years 7 – 9 in 2021
When: January 12 - 16 2022
Where: Alfred Hines Seaside Camp
Cost: $360 ($340 before Dec 1)
Transport: Make your own way or pick up from Rockingham train station
Team Leader: Martin Hill
Glen Echo 1
Who: Years 8 – 10 in 2021
When: January 2 - 9 2022
Where: Glen Echo Farm, Albany
Cost: $470 ($450 before Dec 1)
Transport: Included
Team Leader: Ray and Karen Wadley
Glen Echo 2
Who: Years 8 – 10 in 2021
When: January 9 - 16 2022
Where: Glen Echo Farm, Albany
Cost: $460 ($440 before Dec 1)
Transport: Included
Team Leader: TBC
Glen Echo 3
Who: Years 7 & 8 in 2021
When: January 17 - 23 2022
Where: Glen Echo Farm, Albany
Cost: $450 ($430 before Dec 1)
Transport: Included
Team Leader: Jack and Suzanne Warwick
Glen Echo New Year
Who: Years 7 – 9 in 2021
When: December 28 - 2 January 2022
Where: Glen Echo Farm, Albany
Cost: $430 ($410 before 1 Dec)
Transport: Included
Team Leader: Peter Findlay
MTB Blast
Who: Years 7 – 9 in 2021
When: 17-21 January 2022
Where: Margaret River Region
Cost: $450 ($430 before Dec 1)
Transport: Included
Team Leader: Kent Morgan and Eddie Jamieson
Grade Level (in 2021)
*
Please Choose
Year 7
Year 8
Gender
*
Please choose
Female
Male
Howmany
Max
OverCapacity
No places available
*
There are no places left, but you can go on the waitlist and will receive a place if one opens up
Put me on the waitlist
Camper details
Camper's Name
*
First
Last
Preferred Name (if different)
Date of Birth
*
Day
Month
Year
Postal Address
*
Street Address
Suburb
Postcode
Camper's Email (optional)
Camper's Mobile (optional)
Camper's School
*
Camper's Church (If Any)
Optional: Who did you invite?
Optional: Who invited you?
Do you need to hire a mountain bike?
*
No, I will bring my own Mountain Bike
Yes, I need to hire a Mountain Bike
Parent / Guardian Information
Parent or Guardian Name
*
First
Last
Parent / Guardian Relationship
*
Choose A Relationship
Mother
Father
Aunt
Uncle
Grandparent
Caseworker
Carer
Other Guardian
Parent / Guardian Phone
*
Parent / Guardian Email
*
Emergency Contact Name
*
First
Last
Emergency Contact Relationship
*
Choose A Relationship
Mother
Father
Aunt
Uncle
Grandparent
Caseworker
Carer
Family Friend
Sibling
Other Guardian
Emergency Contact Phone
*
Must be different to the primary contact provided above
Campers in Care
*
This child is under the protection of the Department of Communities
Yes
No
Other Health & Medical Information
Past Medical Conditions
Hold the Ctrl (or cmd) button to select multiple
ADD/ADHD
Anaphylaxis
Anxiety
Appendicitis
Asthma
Bedwetting
Bronchitis
Chicken Pox
Depression
Diabetes
Ear Infections
Epilepsy/Fits
Fainting/Dizziness
Glandular Fever
Heart Problems
Measles
Migraines
Mumps
Pneumonia
Recent Broken Bones/Illness
Sleepwalking
Tonsillitis
Travel Sickness
Current Medical Conditions
Hold the Ctrl (or cmd) button to select multiple
ADD/ADHD
Anaphylaxis
Anxiety
Appendicitis
Asthma
Bedwetting
Bronchitis
Chicken Pox
Depression
Diabetes
Ear Infections
Epilepsy/Fits
Fainting/Dizziness
Glandular Fever
Heart Problems
Measles
Migraines
Mumps
Pneumonia
Recent Broken Bones/Illness
Sleepwalking
Tonsillitis
Travel Sickness
Other
Current Medical Conditions - Other
*
Special Dietary Requirements
*
Does your child have any special dietary requirements that SU should be aware of?
No
Yes
Dietary requirement details:
*
Allergies
*
Does your child have any allergies - food, environmental, drug, other?
No
Yes
Please provide details (including severity & medications)
*
Camper's Swimming Proficiency
*
How well can your child swim?
Swimming proficiency
Cannot Swim
Fair
Well
Tetanus Injection
*
Has your child had a tetanus injection in the last 10 years?
Choose an answer
Never
Don't know
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
Will Your Child Need To Take Medication On Camp?
*
Please include any non-prescription medications your child is taking on camp
Yes
No
Does your child require any other medication (inc. ventolin spray, epipen)?
*
List the medications and any instructions / details necessary for your child.
Do you give permission for the First Aider in charge to administer the following non-prescription medications in an emergency?
*
Important: The team will only keep a limited amount of these medications. If your child requires more, please provide them.
Paracetamol
Ibuprofen
Antihistamines
None of the above
Medicare Number
*
Medicare Card Expiry
*
Medicare Reference Number
*
Please enter a number from
1
to
20
.
Does your child have ambulance cover?
*
Choose an answer
No
Yes
Activity Exclusion Requests
*
Are there any specific activities that you do not wish your child to participate in?
Choose an answer
No
Yes
Exclude My Child From The Following Activities
*
Your Feedback
Please take a moment to let us know more about how you found Scripture Union.
How did you hear about us?
*
Choose an answer
Recommended by a friend
Received a brochure by post
Have been on SU Camps in the past
Email
Church
School Chaplain
Other school contact
Search Engine
Eternity Newspaper
Advocate Newspaper
Sonshine Radio
Facebook
Other
COVID-19 Declaration
I declare that if my child is unwell with COVID-19 symptoms before camp, I will withdraw them from camp with written notice to Scripture Union. Upon withdrawal for this reason, I will receive a full refund. I understand that if I do not notify Scripture Union before camp starts and my child does not attend, no refund will be given.
I understand that there will be a Scripture Union COVIDSAFE plan in place for this camp, which I must agree to. I acknowledge that a form will be emailed to me, which I must sign and bring with me when signing in my child to camp.
I acknowledge that in the event that my child shows two of the four COVID-19 symptoms (fever, cough, shortness of breath, sore throat), they will be tested for COVID-19 at the closest clinic and isolated until a result is available. If they are found to be positive for COVID-19, I understand that I am responsible to come and collect my child and may be required to self-isolate with them.
In the event that there are changes in restrictions, we reserve the right to cancel our camps, in which case you will receive a full refund or given the option to transfer monies to another programs.
Parent / Guardian COVID Agreement
*
I have read and agree to the COVID-19 Declaration.
Agreement with SU WA
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 behaviour, campers will be sent home from camp.
Parent / Guardian Agreement
*
I agree with the terms and conditions for sending a participant on a Scripture Union WA camp.
Photo Consent
*
Do you consent to appropriate use by SU WA of photographs taken on the program that include your child?
Choose an answer
Yes
No
Child Contact Consent
*
Do you consent to a leader continuing contact with your child after the event, within SU policy guidelines and with your full knowledge of details and purpose?
Choose an answer
Yes
No
Additional Camper Information
*
Are there any family, behavioural, mental health or medical conditions which require special attention we should know about? E.g. hearing or sight or other impairment, ADD or ADHD, court order or custody issues, formal counseling situations, or any other?
Choose an answer
No
Yes
Please Provide Details
*
Apply
Press SUBMIT to apply for a place on this camp. We will process applications in the order they are received and let you know if you have a place on camp or if you are on the wait list.
Comments
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