If during any part of the camp where medical attention is required, the staff or volunteer leader will provide the necessary first-aid treatment and if necessary, send you to a clinic/hospital. I authorize the church to take such action as may be necessary, including calling of an ambulance and treatment by paramedics and I accept responsibility for payment of all associated expenses with such treatment if I do not have a Medicare or ambulance number.

By consenting to participate in the church camp, I agree to indemnify and hold harmless Clayton Church of Christ Fellowship and any individual staff or volunteer leaders against all claims arising out of any injury and the relevant activity being undertaken unless such injury results from a failure in the duty of care of the Church or any individual staff or volunteer leader.

Clayton Church of Christ Fellowship may from time to time record video or take images of service and activities at the camp. These videos and images may be recorded, used and shown for information, ministry, teaching, fundraising and/or promotional purposes. By attending this camp, you agree and give consent to the Church with regards to using your video or images for such purposes.

Privacy Statement: Clayton Church of Christ Fellowship respects your personal information and upholds your rights to privacy protection in accordance with the Church’s Privacy Policy and the Australian Privacy Principles contained in the Privacy Act 198

DISCLAIMER: By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.

If you are paying by EFT to qualify for early bird, money must be sent through on the same day as completion of registration.

Please send your remittance to kyle.schroder@claytonchurch.org.au as proof of payment.

Thank you for filling out this form. If you have concerns about the information that Clayton Church collects and how it is used, please refer to our website http://www.claytonchurch.org.au/policies/

Thank you for your donation to sponsor someone for the CYA 2026 Retreat!

If during any part of the camp where medical attention is required, the staff or volunteer leader will provide the necessary first-aid treatment and if necessary, send you to a clinic/hospital. I authorize the church to take such action as may be necessary, including calling of an ambulance and treatment by paramedics and I accept responsibility for payment of all associated expenses with such treatment if I do not have a Medicare or ambulance number.

By consenting to participate in the church camp, I agree to indemnify and hold harmless Clayton Church of Christ Fellowship and any individual staff or volunteer leaders against all claims arising out of any injury and the relevant activity being undertaken unless such injury results from a failure in the duty of care of the Church or any individual staff or volunteer leader.

Clayton Church of Christ Fellowship may from time to time record video or take images of service and activities at the camp. These videos and images may be recorded, used and shown for information, ministry, teaching, fundraising and/or promotional purposes. By attending this camp, you agree and give consent to the Church with regards to using your video or images for such purposes.

Privacy Statement: Clayton Church of Christ Fellowship respects your personal information and upholds your rights to privacy protection in accordance with the Church’s Privacy Policy and the Australian Privacy Principles contained in the Privacy Act 198

DISCLAIMER: By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.

If you are paying by EFT to qualify for early bird, money must be sent through on the same day as completion of registration.

Please send your remittance to kyle.schroder@claytonchurch.org.au as proof of payment.

Thank you for filling out this form. If you have concerns about the information that Clayton Church collects and how it is used, please refer to our website http://www.claytonchurch.org.au/policies/

Thank you for your donation to sponsor someone for the CYA 2026 Retreat!

If during any part of the camp where medical attention is required, the staff or volunteer leader will provide the necessary first-aid treatment and if necessary, send you to a clinic/hospital. I authorize the church to take such action as may be necessary, including calling of an ambulance and treatment by paramedics and I accept responsibility for payment of all associated expenses with such treatment if I do not have a Medicare or ambulance number.

By consenting to participate in the church camp, I agree to indemnify and hold harmless Clayton Church of Christ Fellowship and any individual staff or volunteer leaders against all claims arising out of any injury and the relevant activity being undertaken unless such injury results from a failure in the duty of care of the Church or any individual staff or volunteer leader.

Clayton Church of Christ Fellowship may from time to time record video or take images of service and activities at the camp. These videos and images may be recorded, used and shown for information, ministry, teaching, fundraising and/or promotional purposes. By attending this camp, you agree and give consent to the Church with regards to using your video or images for such purposes.

Privacy Statement: Clayton Church of Christ Fellowship respects your personal information and upholds your rights to privacy protection in accordance with the Church’s Privacy Policy and the Australian Privacy Principles contained in the Privacy Act 198

DISCLAIMER: By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.

If you are paying by EFT to qualify for early bird, money must be sent through on the same day as completion of registration.

Please send your remittance to kyle.schroder@claytonchurch.org.au as proof of payment.

Thank you for filling out this form. If you have concerns about the information that Clayton Church collects and how it is used, please refer to our website http://www.claytonchurch.org.au/policies/

Thank you for your donation to sponsor someone for the CYA 2026 Retreat!

If during any part of the camp where medical attention is required, the staff or volunteer leader will provide the necessary first-aid treatment and if necessary, send you to a clinic/hospital. I authorize the church to take such action as may be necessary, including calling of an ambulance and treatment by paramedics and I accept responsibility for payment of all associated expenses with such treatment if I do not have a Medicare or ambulance number.

By consenting to participate in the church camp, I agree to indemnify and hold harmless Clayton Church of Christ Fellowship and any individual staff or volunteer leaders against all claims arising out of any injury and the relevant activity being undertaken unless such injury results from a failure in the duty of care of the Church or any individual staff or volunteer leader.

Clayton Church of Christ Fellowship may from time to time record video or take images of service and activities at the camp. These videos and images may be recorded, used and shown for information, ministry, teaching, fundraising and/or promotional purposes. By attending this camp, you agree and give consent to the Church with regards to using your video or images for such purposes.

Privacy Statement: Clayton Church of Christ Fellowship respects your personal information and upholds your rights to privacy protection in accordance with the Church’s Privacy Policy and the Australian Privacy Principles contained in the Privacy Act 198

DISCLAIMER: By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.

If you are paying by EFT to qualify for early bird, money must be sent through on the same day as completion of registration.

Please send your remittance to kyle.schroder@claytonchurch.org.au as proof of payment.

Thank you for filling out this form. If you have concerns about the information that Clayton Church collects and how it is used, please refer to our website http://www.claytonchurch.org.au/policies/

Thank you for your donation to sponsor someone for the CYA 2026 Retreat!

If during any part of the camp where medical attention is required, the staff or volunteer leader will provide the necessary first-aid treatment and if necessary, send you to a clinic/hospital. I authorize the church to take such action as may be necessary, including calling of an ambulance and treatment by paramedics and I accept responsibility for payment of all associated expenses with such treatment if I do not have a Medicare or ambulance number.

By consenting to participate in the church camp, I agree to indemnify and hold harmless Clayton Church of Christ Fellowship and any individual staff or volunteer leaders against all claims arising out of any injury and the relevant activity being undertaken unless such injury results from a failure in the duty of care of the Church or any individual staff or volunteer leader.

Clayton Church of Christ Fellowship may from time to time record video or take images of service and activities at the camp. These videos and images may be recorded, used and shown for information, ministry, teaching, fundraising and/or promotional purposes. By attending this camp, you agree and give consent to the Church with regards to using your video or images for such purposes.

Privacy Statement: Clayton Church of Christ Fellowship respects your personal information and upholds your rights to privacy protection in accordance with the Church’s Privacy Policy and the Australian Privacy Principles contained in the Privacy Act 198

DISCLAIMER: By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.

If you are paying by EFT to qualify for early bird, money must be sent through on the same day as completion of registration.

Please send your remittance to kyle.schroder@claytonchurch.org.au as proof of payment.

Thank you for filling out this form. If you have concerns about the information that Clayton Church collects and how it is used, please refer to our website http://www.claytonchurch.org.au/policies/

Thank you for your donation to sponsor someone for the CYA 2026 Retreat!