2021 Easter Camp Leaders - Wirraway • Baptist Churches of South Australia

Leader Registration 0

Contact Details

First Name *

Last Name *

Preferred Name *

Email Address *

Mailing Address *

Mobile Number *

Date of Birth *

Gender *

General Leader Information

Home Church *

Tip: If you attend a youth group, please provide the name of the group or church

Please provide the name of your Youth Pastor/Pastor *

Tip: We may contact this person as a character reference

What is their phone number? *

All leaders are strongly encouraged to have a prayer partner for EC21 for support and encouragement.

Please state the name of your prayer partner for the weekend: *

What is their phone number? *

Do you have Senior First Aid? *

Yes

Are you a trained COVID Marshall? *

Yes

No, but am willing to complete the basic training (20 mins)

Throughout the camp, leaders will be required to help out on specific teams. Which team/s would you prefer to serve on? (Please choose at least 2 options) *

Games / Community

Worship / Creative Worship

Site (set up / pack down)

COVID Protection & Response Team

Child Protection Information

All leaders are required to have a current criminal history check (DCSI Clearance or Working With Children Check) which expires after the final day of camp (April 5th). If you do not have a current police check you will need to organise this through the church where you are currently serving.

I have a relevant criminal history check *

Yes

Tip: DCSI valid until current expiry. WWCC valid for 5 years.

Expiry date of current clearance or check:

All leaders are required to have completed Child Protection Training (full seminar or refesher update) through Baptist Churches of SA via Child Protection Solutions within the last 3 years.

Have you completed Child Protection Training before?

Yes

If yes, what date did you complete your training?

Tip: Please note you need to have completed your training within the past 3 years to be considered up-to-date.

Please upload a copy of your valid criminal history check (WWCC or DCSI) and Child Protection Training Completion Certificate here. Please save the file as "Your Name - Certificate Name" and ensure that both your name and the date of issue is clearly visible.

If you have any questions about DCSI Screenings, WWCCs or child protection training please contact the Baptist Centre on 8357 1755.

Have you ever been charged by the police for any offense or are there any charges pending? *

Yes

Has any disciplinary action ever been taken against you by a church or employing body? *

Yes

Leader Training

All leaders are required to attend the leader's training event in the lead up to camp. If for any reason you are unable to attend this event, please contact Mary Ackers on 0403994720. Please indicate your availability below:

I can attend the Leaders Training Day on Saturday 27th February. *

Yes

Tip: If you have indicated that you are not able to attend the Leader Training Day, please contact Mary.

Medical Information

Please list any medical conditions and/or allergies: *

Please state any medication/s you are taking: *

When was your last tetanus injection? *

What is your Medicare number? *

If you have Private Health Insurance, please list your provider:

What is your private health insurance policy number?

Who is your family doctor? *

What is their phone number? *

Do you have ambulance cover? *

Yes

By checking this box, I understand that if it is deemed necessary to call out an ambulance for you whilst you are on camp you will be responsible for the costs of the call out. *

I understand

Please let us know any dietary requirements you have:

Emergency Contacts

Emergency Contact #1 Full Name *

Emergency Contact #1 Relationship to leader *

Emergency Contact #1 Best Phone Number *

Emergency Contact #2 Full Name *

Emergency Contact #2 Relationship to leader *

Emergency Contact #2 Best Phone Number *

Permissions and Legal

Please read the following statements carefully.

As part of camp we like to be able to share the photos and videos of camp on social media and with the churches that have been involved. Please indicate your permission for media use that features you. *

I give permission for my photos to be used in promotional material and on social media.

I give permission for my photos to be used in promotional material, however I do not wish to be tagged on social media.

I do not wish for my photo to be used in promotional material for future camps.

I take responsibility for any willful damages that may occur on camp. *

I agree

I disagree

I acknowledge that while Baptist Churches SA will take all due care, accidents may occur and I acknowledge that risk of injury is inherent in any physical activity or games. *

I agree

I disagree

If I willfully damage property during camp I will cover any costs incurred for repairs. *

I agree

I disagree

Refund Policy

ONLY Credit card payments will be accepted.

Refunds will be given up to the closing date for registrations (26th March 2021). All registrations that are cancelled before the registration closing date will incur a $20 administration fee.

No general refunds will be issued for any cancellation past 26th March 2021. However, it is important if you're not feeling well that you do not come to camp. If you need to cancel due to illness, a refund will be made available on presentation of a doctor's certificate.

If, due to COVID restrictions, we need to cancel camp, we will endeavour to return all funds possible.

If finances are a problem or you have any questions please call the office on (08) 8357 1755 or email events@sabaptist.asn.au.

I agree to the refund policy above *

I agree

COVID Requirements

All campers and leaders will need to satisfy our COVID requirements.

On arrival to camp, campers/leaders will need to be screened prior to entry. The screening questions are likely to be (depending on current situation):

have you returned from overseas travel in the last 14 days?
have you visited or lived in any known hot spots for COVID-19 within Australia in the last 14 days?
have you had any close contact with a COVID-19 positive case?
do you have any flu-like symptoms? (eg cough, sore throat, shortness of breath, runny nose, fever, chills, loss of smell or altered sense of taste, headache, muscle pain, nausea, vomiting, diarrhoea)

Answers to all these questions needs to be ‘No’ to be allowed into the camp. Additionally, this year parents will need to say good-bye at the registration desk and will not be able to enter the campsite

Volunteer Ministry Agreement

I have a living faith in Jesus Christ. I am an active and regular member of a local Baptist church. I will offer myself to serve on Easter Camp doing whatever is required of me at all times. I agree to attend all meetings and training days leading up to camp. I understand that my youth leader or pastor may be contacted by the Easter Camp Core Team. I understand I will be a role model on camp and will act accordingly. I will provide duty of care to the young people in my care at all times. I agree to complete a Police Check and undergo Child Protection Training. I am willing to work under the leadership of the EC Core Team and Camp Director.

I understand that as a volunteer for the Baptist Churches of SA I will work within the code of ethics and child protection policies and procedures established by the Baptist Churches of SA. In the event that a complaint is made against me I will cooperate with the Director of Professional Standards and any investigation that is established into my conduct on camp.

Do you agree to uphold the Volunteer Ministry Agreement? *

I agree

I disagree

Is there anything else you'd like to let us know?

Thanks for filling out all that info.

We'll just get your payment details sorted and then we'll be done!