Family Camp 2027 • The Rock

Family Camp - 6km south of Smithton

Type

Price

Quantity

Adult Ticket

79 Remaining

Price
$170.00

Quantity
Youth Ticket

30 Remaining

Price
$80.00

Quantity
Child (under 12)

40 Remaining

Price
$0.00

Quantity

Applying discount...

Adult Ticket 0

Personal contact info

Name:

First Name *

Last Name *

Address:

Home Address *

Home City *

Home Post Code *

Mobile Number

Date of birth:

Date of Birth *

Gender:

Please select *

Male

Female

Other

Working with vulnerable card

Working with vulnerable people: *

Working with vulnerable people number *

Emergency contact information:

Emergency Contact Name *

Emergency Contact Relationship *

Emergency Contact Number *

Accommodation preferences

Please list your preference and we will contact you to discuss options and availability *

List of people I would like to share a cabin with *

More information

Dietary Requirements:

Do you have any dietary requirements *

Yes

If yes please provide details below. IMPORTANT: if you have a serious or fatal allergy of any type, please contact us to discuss. *

Information on relevant conditions

Are there any conditions which require special attention that we should know about eg. Hearing or sight impairment, ADD or ADHD, behaviour issues, formal counselling situations, Eating, or any other? *

Yes

Please give details below *

YOUR AGREEMENT WITH THE ROCK COMMUNITY CHURCH – CAMPS & EVENTS

By signing this document, I acknowledge that my participation (or my family’s participation) in this camp/event may involve activities that are physically and emotionally demanding. I understand that certain inherent risks and dangers may be present in the activities in which myself, my children, or other family members will be participating. I acknowledge that while The Rock Community Church and its leaders will make every reasonable effort to minimise exposure to known risks, some hazards may be unforeseen or beyond the control of the organisation, its leaders, staff, and volunteers.

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 treatment or anaesthetic if required.
I understand that myself, my children, or other members of my family may be included in photos or video footage taken during the camp/event.
I confirm that the information provided in this application is true and correct.
I agree to inform the leaders of any changes to these details.
I accept responsibility for payment and agree to cover medical, transport, or any other related expenses that may arise.

If you have any questions, please email:
admin@therock.net.au

Agreement *

I agree with the above

I do not agree

Thank you

Thank you for registering for FAMILY CAMP 2027

An email will be sent to you with an invoice

We will also email you with more details in the lead up to camp

If you have any questions please email - admin@therock.net.au

Thanks again from the FAMILY CAMP Team

Youth Ticket 0

Personal contact info

Name:

First Name *

Last Name *

Address:

Home Address *

Home City *

Home Post Code *

Mobile Number

Date of birth:

Date of Birth *

Gender:

Please select *

Male

Female

Other

Working with vulnerable card

Working with vulnerable people: *

Working with vulnerable people number *

Emergency contact information:

Emergency Contact Name *

Emergency Contact Relationship *

Emergency Contact Number *

Accommodation preferences

Please list your preference and we will contact you to discuss options and availability *

List of people I would like to share a cabin with *

More information

Dietary Requirements:

Do you have any dietary requirements *

Yes

If yes please provide details below. IMPORTANT: if you have a serious or fatal allergy of any type, please contact us to discuss. *

Information on relevant conditions

Yes

Please give details below *

YOUR AGREEMENT WITH THE ROCK COMMUNITY CHURCH – CAMPS & EVENTS

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 treatment or anaesthetic if required.
I understand that myself, my children, or other members of my family may be included in photos or video footage taken during the camp/event.
I confirm that the information provided in this application is true and correct.
I agree to inform the leaders of any changes to these details.
I accept responsibility for payment and agree to cover medical, transport, or any other related expenses that may arise.

If you have any questions, please email:
admin@therock.net.au

Agreement *

I agree with the above

I do not agree

Thank you

Thank you for registering for FAMILY CAMP 2027

An email will be sent to you with an invoice

We will also email you with more details in the lead up to camp

If you have any questions please email - admin@therock.net.au

Thanks again from the FAMILY CAMP Team

Child (under 12) 0

Personal contact info

Name:

First Name *

Last Name *

Address:

Home Address *

Home City *

Home Post Code *

Mobile Number

Date of birth:

Date of Birth *

Gender:

Please select *

Male

Female

Other

Working with vulnerable card

Working with vulnerable people: *

Working with vulnerable people number *

Emergency contact information:

Emergency Contact Name *

Emergency Contact Relationship *

Emergency Contact Number *

Accommodation preferences

Please list your preference and we will contact you to discuss options and availability *

List of people I would like to share a cabin with *

More information

Dietary Requirements:

Do you have any dietary requirements *

Yes

If yes please provide details below. IMPORTANT: if you have a serious or fatal allergy of any type, please contact us to discuss. *

Information on relevant conditions

Yes

Please give details below *

YOUR AGREEMENT WITH THE ROCK COMMUNITY CHURCH – CAMPS & EVENTS

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 treatment or anaesthetic if required.
I understand that myself, my children, or other members of my family may be included in photos or video footage taken during the camp/event.
I confirm that the information provided in this application is true and correct.
I agree to inform the leaders of any changes to these details.
I accept responsibility for payment and agree to cover medical, transport, or any other related expenses that may arise.

If you have any questions, please email:
admin@therock.net.au

Agreement *

I agree with the above

I do not agree

Thank you

Thank you for registering for FAMILY CAMP 2027

An email will be sent to you with an invoice

We will also email you with more details in the lead up to camp

If you have any questions please email - admin@therock.net.au

Thanks again from the FAMILY CAMP Team