Welcome, campers!

*Please register here if you are a camper

Saturday 14th July, 10am - Monday 16th July, 9:30am
Mylor Adventure Camp
32 Wingrove Rd, Mylor SA 5153

M&M Camp (Missions and Me), the state Baptist camp for children in Year 3-7 at Mylor Baptist Campsite from 14th-16th July, is a unique opportunity for campers to make new friends, grow in their faith, experience Christian community beyond their own church, have a taste of the culture of Malawi and hear God’s heart for people of the world. Further details are available via the Baptist Churches of SA website or by contacting the camp team at mmcamp@sa.baptist.asn.au.

Pricing
Early bird (before 30th April): $165 (siblings $160)
Standard (closing 4th July): $170 (siblings $165)

Please note you will need to use a credit card for payment to complete this registration. If you are unable to do this please contact mmcamp@sabaptist.asn.au

Refund Policy
Full refund will be given up to the closing date for registrations (4th July). After the 4th July you can receive a 50% refund.

Craft activities will be included in this registration. Please make sure your child is nearby so they can make their choice.

Baptist Churches of South Australia and Global Interaction
Register
Hey! A payment field in this typeform can’t load in your browser. To pay and submit your responses, please view this typeform in one of these browsers.
 
Please fill out this first section about the parent/care giver.

 
What's your first name? *

 
Last name? *

 
What's your house number? *

 
Street name? *

 
Suburb? *

 
What's your postcode? *

 
What's your home phone number?

 
What's your mobile number? *

 
Protecting your privacy is important to us.

The information we seek allows us to manage risk, provide reasonable care and administer your involvement in our program. We are careful to keep your information confidential, and provide it only to those agents acting on behalf of the organisation who need it to enable them to perform their agreed activities (e.g. the First-Aider-In-Charge).

 
You are welcome to contact our office on (08) 8357 1755 in relation to issues regarding your personal information and for a copy of our Privacy Policy.

We only ask for information that is necessary for the purposes outlined in this statement. In some circumstances, if you don't provide us with all requested information, you could miss the opportunity to be involved in our program.

 
How many campers are you registering today? *





 
Please answer the following questions about Camper #1

 
What is Camper #1's first name? *

 
Last name? *

 
What is {{answer_CAbHVknseuwy}}'s gender? *

 
What is {{answer_CAbHVknseuwy}}'s address?

If different from earlier
 
What year level is {{answer_CAbHVknseuwy}} in? *

 
Is {{answer_CAbHVknseuwy}} affiliated with a church? *

     
 
Which church? *

 
Name 1 or 2 friends {{answer_CAbHVknseuwy}} would like to dorm with and we will do our best to accommodate their request

 
Does your child have any dietary requirements? *

     
 
Please provide details: *

 
Can your child swim? *


 
Is your child subject to sleep walking? *

     
 
Is your child subject to bedwetting? *

     
 
Important: Please note that in regards to non-prescription medications such as paracetamol (e.g. Panadol), it is our policy that leader team members do not provide medications.

 
Will your child need to take any tablets or other medication during the course of the program? *

     
 
Please give details. *

 
Has your child been taken off medication recently?

     
 
Please give details. *

 
What is the year of your child's last tetanus injection?

 
Has your child previously broken/fractured any bones? *

     
 
Please give details. *

 
Does your child have any medical conditions? *

     
 
Please give details. *

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

     
 
Please give details. *

 
What number is {{answer_CAbHVknseuwy}} on your Medicare card? *

 
Please select 2 crafts your child would like to be involved in: *









 
Would you like to register another camper? *

     
 
Please answer the following questions about Camper #2

 
What is Camper #2's first name? *

 
Last name? *

 
What is {{answer_qAZMAFajkyB4}}'s gender? *

 
What is {{answer_qAZMAFajkyB4}}'s address?

If different from earlier
 
What year level is {{answer_qAZMAFajkyB4}} in? *

 
Is {{answer_qAZMAFajkyB4}} affiliated with a church? *

     
 
Which church? *

 
Name 1 or 2 friends {{answer_qAZMAFajkyB4}} would like to dorm with and we will do our best to accommodate their request

 
Does your child have any dietary requirements? *

     
 
Please provide details: *

 
Can your child swim? *


 
Is your child subject to sleep walking? *

     
 
Is your child subject to bedwetting? *

     
 
Important: Please note that in regards to non-prescription medications such as paracetamol (e.g. Panadol), it is our policy that leader team members do not provide medications.

 
Will your child need to take any tablets or other medication during the course of the program? *

     
 
Please give details. *

 
Has your child been taken off medication recently?

     
 
Please give details. *

 
What is the year of your child's last tetanus injection?

 
Has your child previously broken/fractured any bones? *

     
 
Please give details. *

 
Does your child have any medical conditions? *

     
 
Please give details. *

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

     
 
Please give details. *

 
What number is {{answer_qAZMAFajkyB4}} on your Medicare card? *

 
Please select 2 crafts your child would like to be involved in: *









 
Would you like to register another camper? *

     
 
Please answer the following questions about Camper #3

 
What is Camper #3's first name? *

 
Last name? *

 
What is {{answer_vcnRGHQXeSW3}}'s gender? *

 
What is {{answer_vcnRGHQXeSW3}}'s address?

If different from earlier
 
What year level is {{answer_vcnRGHQXeSW3}} in? *

 
Is {{answer_vcnRGHQXeSW3}} affiliated with a church? *

     
 
Which church? *

 
Name 1 or 2 friends {{answer_vcnRGHQXeSW3}} would like to dorm with and we will do our best to accommodate their request

 
Does your child have any dietary requirements? *

     
 
Please provide details: *

 
Can your child swim? *


 
Is your child subject to sleep walking? *

     
 
Is your child subject to bedwetting? *

     
 
Important: Please note that in regards to non-prescription medications such as paracetamol (e.g. Panadol), it is our policy that leader team members do not provide medications.

 
Will your child need to take any tablets or other medication during the course of the program? *

     
 
Please give details. *

 
Has your child been taken off medication recently?

     
 
Please give details. *

 
What is the year of your child's last tetanus injection?

 
Has your child previously broken/fractured any bones? *

     
 
Please give details. *

 
Does your child have any medical conditions? *

     
 
Please give details. *

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

     
 
Please give details. *

 
What number is {{answer_vcnRGHQXeSW3}} on your Medicare card? *

 
Please select 2 crafts your child would like to be involved in: *









 
Would you like to register another camper?

     
 
Please answer the following questions about Camper #4

 
What is Camper #4's first name? *

 
Last name? *

 
What is {{answer_Ns37UFnWHbNu}}'s gender? *

 
What is {{answer_Ns37UFnWHbNu}}'s address?

If different from earlier
 
What year level is {{answer_Ns37UFnWHbNu}} in? *

 
Is {{answer_Ns37UFnWHbNu}} affiliated with a church? *

     
 
Which church? *

 
Name 1 or 2 friends {{answer_Ns37UFnWHbNu}} would like to dorm with and we will do our best to accommodate their request

 
Does your child have any dietary requirements? *

     
 
Please provide details: *

 
Can your child swim? *


 
Is your child subject to sleep walking? *

     
 
Is your child subject to bedwetting? *

     
 
Important: Please note that in regards to non-prescription medications such as paracetamol (e.g. Panadol), it is our policy that leader team members do not provide medications.

 
Will your child need to take any tablets or other medication during the course of the program? *

     
 
Please give details. *

 
Has your child been taken off medication recently?

     
 
Please give details. *

 
What is the year of your child's last tetanus injection?

 
Has your child previously broken/fractured any bones? *

     
 
Please give details. *

 
Does your child have any medical conditions? *

     
 
Please give details. *

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

     
 
Please give details. *

 
What number is {{answer_Ns37UFnWHbNu}} on your Medicare card? *

 
Please select 2 crafts your child would like to be involved in: *









 
Please provide the following information about your nominated emergency contact

 
What is their full name? *

 
Their relationship to your child/ren? *

 
Their best phone number? *

 
Do you have private health insurance? *

     
 
Who is your insurance provider? *

 
What is your membership number? *

 
What is your Medicare number? *

 
What is the expiry date on your Medicare card? *

 
Do you have ambulance cover? *

     
 
I give permission for my child/ren's small group leader to have contact via my email address following camp (if the leader is able). *

     
 
In attending the program, you consent to your child/ren's participation in a range of general sporting and recreational activities. If potentially risky activities of a specific nature are included, the Team Leader will inform you of these.

 
Are there any specific activities that you do not wish your child/ren to participate in?

 
I am aware, in signing this document regarding my child/ren's participation this program, that certain elements of the program could be physically and emotionally demanding.

Furthermore, I understand that certain inherent risks and dangers may exist in the activities in which my child/ren will be participating.

 
I acknowledge that while the organisation and its leaders will make every reasonable effort to minimise exposure to known risks, all hazards and dangers associated with these activities cannot be foreseen or may be beyond the control of the organisation, its leaders and staff.

In the event of any emergency where my nominated contact people are unavailable:

 
1. I authorise the leaders to obtain medical advice and/or assistance which they deem necessary.

 
2. I further authorise qualified practitioners to administer anaesthetic if required.

 
3. I accept all operation, blood transfusion and/or anaesthetic risks involved in the event that such procedures are deemed necessary.

 
4. I accept the responsibility for payment and agree to pay medical, transport and any other related expenses.

 
5. I confirm that the information contained in this application is true and correct.

 
6. I agree to inform the leader of any change to these details.

 
I agree to the above statement s:

     
 
Do you consent to appropriate use by us of photographs taken on the program that include your child?

For example, inclusion in our newspaper, placement on our web page or in a brochure
For example, inclusion in our newspaper, placement on our web page or in a brochure
     
 
Do you have a coupon code? *

     
 
Please type your coupon code here:

 
Thank you, we have received your request to pay via an alternate method.

Your total for M&M Camp comes to: ${{var_price}}

You will receive an email after you confirm your registration with details on how to make payment.

 
Your total for M&M Camp comes to: {{var_price}} *

Sorry, your browser doesn’t support payments
Hooray! You're all signed up for camp!

You should receive a welcome email soon, so keep an eye on your inbox for that and further camp information.
again
Powered by Typeform
Powered by Typeform