RBC Youth Camp 2026 • Rostrevor Baptist Church

Date & Time

18 September, 2026 5:00 PM - 20 September, 2026 2:00 PM

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Price
$180.00

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Personal Details

First Name *

Preferred Name

Middle Name

Last Name *

Gender

Date of Birth *

School

School Grade *

Tip: For leaders please write leader

Home Address *

Home Address Line 2

Home Suburb *

Home Postcode *

Parent/Guardian Details

This will be the person Elliot will contact to clarify anything and with important information. They will also be the first emergency contact.

Parent/Guardian Full Name *

Relationship to Youth

Parent/Guardian Contact Number *

Parent/Guardian Email

Emergency Contact

To contact if Parent/Guardian listed above is unavailable.

Emergency Contact Name *

Relationship to Youth

Emergency Contact Mobile Number *

Health Information

Does your young person have any Medical Conditions that we need to know about for Camp

Please Specify

Dietary Information

This information will be shared with the camp caterer, and if there are requirements she will likely contact you to clarify them before camp.

Dietary Requirements *

Dietary Requirements - Please Specify

Medicare

If you don't have a medicare card then put a 0 in all three medicare fields - the number, the individual reference number and the expiry date

Medicare Number *

Individual Reference Number *

Valid Until *

Ambulance Cover *

Private Health Insurance *

Private Health Details

Medication

We will need ANY medication brought on camp to be signed in to the camp nurse, please give us details of any presription medication that needs to given at specific times so that we can get that to happen smoothly. The camp nurse will be available for things like Panadol throughout camp. (Provided your youth can take that)

Prescription Medication *

Please List Medication and Instructions for taking it

Is your youth able to be given Paracetamol (Panadol) *

Allergies

Does your young person have any Allergies *

Please Specify

Additional Needs or Support

Please let us know how we can help your young person have the best possible experience on camp. We will not be excluding anyone from anything or necessarily changing what we have planned for the weekend, but any information will help us to respond to your young person's specific needs in a way that helps them. Elliot will reach out for a specific care plan if your child needs it.

Does your young person have a Neurodivergent diagnosis *

Please Specify and provide any helpful information

Does your young person suffer from Panic Attacks or similar conditions?

Does your young person easily become overwhelmed by sensory overload?

Any other information that could be helpful for us to be aware of?

Other Information

Are you okay with us using photos of your young person on camp on our social media accounts? *

You acknowledge that by filling out this form you are putting your young person in the care of RBC youth for the weekend of the 18th to the 20th of September 2026. *

I do

Payment Options

When you go to the next page there will be two payment options - they will be either Cash or Bank Transfer.

Cash can be handed physically to Elliot or another pastor at RBC.

Bank Transfer must be made to our general giving account and labelled with the youth's name/s and Camp 2026.

BSB: 704-922
Acc#: 100005782
Name: Rostrevor Baptist Church

As both of those options will be processed by us seperate to this form, payment does not need to be done immediately, but it will need to be completed BEFORE camp starts. If there are exceptional circumstances we can be flexible with that, but please communicate with Elliot if flexibility is needed.

Confirmation *

I understand