Young Persons Name *

First Name

Last Name

Emergency Contact Name *

First Name

Last Name

BBQ Lunch *

The lunch will be at 12:30pm and we will be having burgers and chips.

Yes - my young person would like to be catered for.

No lunch required.

Transport for Cables Aqua Park *

We will be leaving INChurch at 1:30pm and transported via mini bus to Cables Aqua Park. We will be returning to INChurch at 3:30pm for pick-up.

Yes - my young person will need transportation.

No transportation required / not attending Cables Water Park

Cables Aqua Park Waiver *

Necessary if your young person is swimming at Cables Aqua Park.

Yes - I have signed the waiver, and my young person can swim confidently.

No - my young person will be attending Cables BUT NOT swimming

No - my young person will NOT BE ATTENDING the Aqua Park

Parent/Guardian Consent *

Please read, understand and agree to the following: INVOLVEMENT CONSENT: I being the parent/guardian of the said young person hereby give my consent to be transported by bus under the supervision of INYouth Leaders. I give notice that the young person has purchased their own ticket to the Aqua Park and I have given consent for them to attend the event as per Cable's wavier & consent policy. MEDICAL TREATMENT CONSENT: I being parent/guardian of the said child understand that whilst every precaution will be taken to ensure the good welfare and protection of my child, Imagine Nations Church, its staff and volunteers acting on behalf are hereby released from any and all liability in the event of any accident or misfortune, damage or loss that may occur to the child and their property. In the case of an emergency, I hereby give permission to the First Aid Staff to ensure proper treatment for my child. I understand that every effort will be made to contact me before instituting such procedures. I agree to pay all such doctor, ambulance and hospital fees incurred on behalf of my child. I will provide a list of any health information about my child that the First Aid Staff need to know. SUPERVISION POLICY: Imagine Nations Youth will provide supervision for the event in collaboration with Youth Alive (the event organisers). Young people will not be able to leave the site of the event and must travel to and from the event in transport organised by INYouth (unless another arrangement has been organised prior to the event in writing with approval from the Youth Pastor). PRIVACY POLICY: Imagine Nations Church is committed to protect the privacy of an individual’s information. Please refer to the Privacy policy on our website.

UNDER 18s: I consent as the parent (listed above) of the young person to the above conditions.

OVER 18s: I consent as the person listed above to the above conditions.

Name of adult giving consent *

First Name

Last Name