Winter Leaders Registration < Winter Camp < Camps & Events | Presbyterian Youth Victoria

First Name*

Last Name*

Gender

Male

Female

Date of Birth (dd-mm-yyyy)*

Street Address*

Suburb/Town*

State*

Postcode*

Mobile Phone*

Email*

WWCC Number*

WWCC Expiry*

Have you completed Safe Church Basic Training and VAP?

Yes

Home Church?

Emergency Contact Person

Emergency Name*

Emergency Relationship*

Emergency Phone Number(s)*

Emergency Email*

Medical Details

Medicare Number*

Leader’s number on Medicare Card*

Ambulance Insurance

Yes

Medical Conditions / Additional needs / Mental Health Conditions

Yes

Please list conditions

Current Medications (if any)

Dietary Requirements (please give specific details)

Do you Give permission for PYV First Aiders to administer Paracetamol if required?

Yes

Other

Other Details/Comments

Training Day

PYV Camp Leaders are required to attend the relevant Training Day for the camp which they are leading on.

The day will be full of camp specific training and team building, and as such all leaders are required to attend. Leaders unable to make the training day must inform the Camp Convener prior to the day. It is at the Camp Convener’s discretion only for someone to lead on a camp without attending the relevant training day. Camp Conveners will be required to inform the PYV Council of the reasoning behind this should it occur.

Winter Camp 2022 Training Day

When: Saturday 4 June 2022 at 10am
Where: Reservoir Presbyterian Church (map link)

More information will be sent to leaders prior to this Training Day.

Attending Training Day

Yes

CAMP RULES

The following rules apply to all campers at PYV camps. Leaders must also uphold and action the rules in the leadership at camp.

Campers must attend all activities.
Campers cannot leave the Campsite unless permitted by Camp Convener.
Campers are to treat each other with respect. (No bullying, racism and exclusion etc).
Practical jokes which may cause hurt or damage are not allowed.
No smoking, alcohol or bad language.
There are to be no electronic devices brought to camp unless required for medical reasons.
Campers are expected to dress appropriately at all times.
Couples are expected to behave in an appropriate manner.
Dorms cannot be changed unless permitted by joint decision of the Camp Executive.
Dorms are out of bounds to the opposite gender.
Campers are required to stay in their dorms after lights out, until the morning wake-up call. Failure to do so (unless in the case of an emergency to seek help from a leader) will result in the camper being immediately sent home from the camp.
Campers who are 18 or over must not at any time enter the dorms of campers age 17 or under, and vice versa.
Campers under the age of 18 must go to the bathroom in pairs (your buddy cannot be over 18).
Decisions of the Camp Executive are final.

PYV Winter Camp will be adhering to COVID Safe practices required by the Victorian government and the Phillip Island Adventure Resort campsite. PYV will continue to monitor requirements for compliance during the camp. Please note that our COVID Safe plans will be subject to change as the advice from the state public health authorities and government changes.

I agree to abide by the camp rules

Yes

Permissions

Do you give permission for photos, videos and audio taken of you at PYV Camps and Events to be used for promotional and advertising purposes in print and online (including website, facebook, youtube)?

Yes

PAYMENTS

Leader Cost: $150

A non-refundable deposit is required upon registration.

Payment options include

PayPal
Direct Deposit / Bank Transfer

If you are unable to make a payment using these payment options please contact admin@pyv.org.au .

Need financial assistance to pay for this camp? Contact admin@pyv.org.au

Indemnity

I understand that this registration is accepted on the condition that financial responsibility incurred as a result of any accident or illness cannot be assumed by PYV.

Yes

I agree to abide by the decisions of the camp/event conveners and act in a considerate manner towards others.

Yes

I have let the First Aid officers know on this form of any condition likely to affect the safety or comfort of myself or others at camp.

Yes

I confirm that the details provided in this registration for myself are accurate to the best of my ability. By sharing this information I confirm that the details can be relied upon by users of this information for the running of this camp/event.

Yes

Leader’s Name

Date

Winter Leaders Registration

Leader Registration Form

Emergency Contact Person

Medical Details

Other

Training Day

CAMP RULES

Permissions

PAYMENTS

Indemnity

Thankyou, you registration has been received.

Winter Leaders Registration

Leader Registration Form

Emergency Contact Person

Medical Details

Other

Training Day

CAMP RULES

Permissions

PAYMENTS

Indemnity

Thankyou, you registration has been received.

PYV Office

Subscription