South Wales Camp

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Thank you for completing the registration form for South Wales Camp.

The information you submitted is available at the bottom of this email, we would be grateful if you could double check this to ensure that it is accurate.

Once you have checked this please print and sign the consent forms (included as part of this email) and return them to your local youth club along with your deposit. 

If you cannot print out this email please speak to your local youth club leader who will print it for you.

We’re looking forward to having your child at camp!

South Wales Camp Team

Booking Form

You have completed your booking details online. Please check below for errors.

Your name: [from_name]

Your email: [from_email]

Youth club location: [Location]

Name of child: [Name-of-Child]

Child’s gender: [gender]

Date of birth: [Date-of-Birth]

NHS Number: [NHS-Number]

Address: [Address]

Name of parent/carer: [Name-of-ParentCarer]

Contact address: [Contact-Address-If-different-from-above]

Daytime telephone: [Daytime-Telephone]

Evening telephone: [Evening-Telephone]

Mobile telephone: [Mobile-Telephone]

Emergency contact: [Emergency-Contact]

Relationship to child: [Relationship-to-the-child]

Telephone number: [Telephone-Number]

Emergency contact address: [Emergency-Contact-Address]

Name of GP: [Name-of-GP]

Telephone of GP: [Telephone]

GP Address: [Address01]

Date Tetanus injection: [Date-of-Last-Anti-Tetanus-Injection]

Illness/Disability?: [Does-Your-Child-Have-Any-IllnessDisabili]

Illness/Disability details: [Details-of-Any-IllnessDisability]

Medication?: [Will-Your-Child-Be-On-Any-Medications-At]

Medication details: [Details-of-any-medication-required-durin]

Allergies/diet?: [Does-Your-Child-Have-Any-Allergies-Or-Sp]

Allergies/diet details: [Details-of-any-allergies-or-special-diet]

Listed below are activities undertaken at Camp that require consent. Please read the details listed below, including the more detailed section below the form, and then choose “I Consent” to give your consent. Any exclusions can be listed in the space below, however, please note that should you list activities here your child will be unable to join in that activity for the duration of the week.

HEALTH CARE: In an emergency and/or if I am not contactable, I am willing to permit Doctor / hospital or dental treatment including an anaesthetic. I am also willing to permit any First Aid treatment as may be deemed necessary by a qualified First Aider.

OUTINGS: During Camp, visits may be made to local beaches, dunes and woodland areas and other places of interest.

SWIMMING: This may include some swimming in in the sea from the local beaches. Swimming will only take place on beaches recommended by the St Madoc Centre and careful note of conditions prevailing will always be taken. In the sea, Camp Leaders will keep a watchful eye on all children and monitor the depth of the water that is being used. This will be effected by always having two leaders in the sea at the furthest limit children are allowed to proceed to. Please note on the registration form if your child is unable to swim or needs careful monitoring.

Details of any regular medication, medical problem (e.g. asthma, epilepsy, diabetes, allergies, dietary needs, etc.) or disability which may affect the swimming activity need to be completed in the health section of the registration form.

Swimming: [swimming]

Swimming Comments: [swimcom]

During a typical week of camp your child may be involved in any of the following:

  • SEA ACTIVITIES (which may include games on the water margin),
  • DODGE BALL,
  • GENERAL ACTIVITIES,
  • TRANSPORT (such as outings and swimming),
  • PHOTOGRAPHS/VIDEOS TAKEN FOR USE DURING CAMP AND AFTERWARDS IN CAMP PROMOTION.

This list is representative of the types of activities campers engage in but is not exhaustive. Your child may be involved in other activities of a similar nature to those outlined on this list.

I give consent for the child named on this form to receive health care and to join in with all the above activities.

Consent to Camp activities: [consent]

Exceptions to consent: [Any-Exceptions]

By submitting this form I confirm that I have read and understood the content above and below, and that, to the best of my knowledge, the details I have provided are both correct and accurate.

The information you provided is correct/accurate: [agreement]

Consent Form Information

We require your permission to allow your child to engage in day-to-day Camp activities. These activities are described below. Once you have read this, please sign and return this email indicating your consent. Please note, without signing and returning this email form your child’s attendance at Camp is seriously at risk.

Outings Detail
During Camp, visits may be made to local beaches, dunes and woodland areas and other places of interest.

Swimming/Water Margin Activities Detail
This may include some swimming in in the sea from the local beaches. Swimming will only take place on beaches recommended by the St Madoc Centre and careful note of conditions prevailing will always be taken. In the sea, Camp Leaders will keep a watchful eye on all children and monitor the depth of the water that is being used. This will be effected by always having two leaders in the sea at the furthest limit children are allowed to proceed to. Please note on the registration form if your child is unable to swim or needs careful monitoring.

Details of any regular medication, medical problem (e.g. asthma, epilepsy, diabetes, allergies, dietary needs, etc.) or disability which may affect the swimming activity need to be completed in the health section of the registration form.

General Camp Activities
There are various normal activities/sports taking place on site such as football, dodge ball, sports in the sports hall etc. which, whilst taking place with leaders nearby, are not explicitly monitored. These are just normal children’s activities which have functioned successfully like this for many years. Children are always monitored closely when taken off site such as for organised activities on the beach.

While involved in the ranges of activities the children will be under the control and care of the group leader and/or other adults approved by the church/organisation leadership. While the staff in charge of the group will take all reasonable care of the children, they cannot necessarily be held responsible for any loss, damage or injury suffered by any child during, or as a result of, an activity.

Transporting Children
Camp is able to provide transport for children to and from their home towns and for specific activities during camp if required. This transport will be by coach and occasionally by car. During transportation the following principles will be adhered to:

  • All drivers will be recruited under the guidelines recommended in the government publication ‘Safe From Harm’ and will have undertaken a Disclosure and Barring Service (DBS) check .
  • Transport will be provided in vehicles that are roadworthy, i.e. with a MOT and appropriate insurance.
  • Seat belts will be worn at all times by all occupants of the vehicle.

Images of Children
During the week of Camp we would like to take photographs and video recordings of children who attend. These images may appear in our printed publications, they may be shown in church displays and during promotional events.

Conditions of Use

  • We will not include details of full names (which means first name and surname) of any person in an image on a website, or in printed publications, without good reason and only with your express consent.
  • We will not include personal e-mail or postal addresses, or telephone or fax numbers on our website or in printed publications.
  • We may use group images with very general labels, such as “youth enjoying sport”.

Signature required:

By signing this form I am confirming that my child is in good health and I consider him/her fit to participate in the activities listed above. I confirm that have read the information above and understand the content I also confirm that the personal details of the child named on this form are, to the best of my knowledge, both correct and accurate.

Please print your name: __________________________________

Signed: ___________________ Date: _____________

Parent/or adult with parental responsibility (Please delete as appropriate).

Agreement to abide by the Camp rules

To be read and completed by the child attending Camp.

I agree to abide by the rules of Camp and to follow all reasonable instructions given by the leaders.

I understand that, whilst I may not fully accept some of the rules and instructions given, they are for my benefit and the benefit of other campers.

I acknowledge that my behaviour has to be of a standard that is not conflicting with the needs of others, and I will respect the views and needs of all others.

I acknowledge that if my behaviour is in breach of the required standards various disciplines can be applied, and the ultimate discipline is dismissal from the Camp site permanently.

Please print your name: __________________________________

Signed: ___________________ Date: _____________