Immaculata Mission School 2025

MERCY

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Name

First

Last

Gender

Date of Birth

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Mobile number

Home phone number

On 1 January 2025 will you be:

Under 18 years of age
Over 18 years of age

Emergency contact name

Next of kin or relative

Emergency contact phone number

Is this your first IMS?

Your occupation

Your parish / youth group / community

Please tell us a little bit about yourself

(e.g. family, hobbies)

How did you hear about IMS?

What do you hope to get out of IMS?

What previous experience have you had with Christian camps, retreats, youth groups or formation?

Do you have any health conditions (including psychological conditions)?

Do you have any dietary requirements?

Please specify

Do you take any medication?

Please specify

Do you have any special requirements (e.g. relating to accommodation) or other important information we should know?

Please upload a headshot of yourself

Click or drag a file to this area to upload.

These are for use only by our admin team for safety purposes, so we can easily identify participants.

Code of Conduct

Due to the nature of the Immaculata Mission School, which includes participants being accommodated on site, and under 18s in attendance, we ask all those coming to accept the following Code of Conduct.

During the Immaculata Mission School 2024 I will:

Comply with the rules of the IMS and the directives of the IMS leaders to enable proper functioning of the school and to support the team in their leadership.
Respect the person, property and opinions of each participant, of any other person who I encounter during the IMS (e.g. fellow participants, speakers, those who work at the venue, etc) and of the venue.
Respect and uphold the teachings of Christ and the Catholic Church.
Refrain from inappropriate sexual conduct, including harassment, verbal abuse etc.
Not use illegal drugs or substances, and comply with the school being alcohol-free. Smoking and vaping are not permitted on the school.
Take responsibility for myself, my conduct and my personal property.

Acceptance of Code of Conduct

I agree to abide by the IMS Code of Conduct

IMS Waiver

Indemnity

I understand that while every reasonable precaution will be undertaken to ensure my protection, I hereby release the Sisters of the Immaculata and authorised Staff and Volunteers (hereafter "the Sisters of the Immaculata") from any and all liability in the event of any injury, accident, misfortune, damage or loss that may occur to me and/or my property while present at the Immaculata Mission School (hereafter "IMS"). Further, I indemnify the Sisters of the Immaculata from and against all loss, including legal expenses, connected with or arising from any claims or demands in relation to my attendance at IMS.

Medical treatment consent

I give permission for the Sisters of the Immaculata to obtain emergency medical, hospital or ambulance assistance and/or treatment for myself at any time they consider necessary. I acknowledge that I will be liable for any medical, hospital or ambulance expense incurred in my treatment and I agree to pay those expenses.

Privacy declaration

I understand that the Sisters of the Immaculata may collect information about me for the purpose of providing promotional material and maintaining ongoing contact with me, and that they will not pass my information on to any other organisation. I consent to my details being used by the Sisters of the Immaculata for the promotion of future events and resources via post, phone, email and sms. I can elect to have my details removed from their database at any time. I understand that IMS will be captured in photographs, video and audio, and that the Sisters of the Immaculata reserves the right to use this material, including my image and/or voice, for promotional purposes or other resources.

Declaration regarding convictions or accusations of abuse

I declare that I have never, in Australia or another country, been convicted of an offence involving sexual abuse, or any other type of abuse. I declare that there are no legal, employment or Church-based limitations on my interactions with under 18s or vulnerable adults. I declare that I have never been accused of an offence involving sexual abuse, or any other type of abuse, and that if I have been accused of such an offence, I will disclose all details in a separate document. I understand that my disclosure of any accusations will remain confidential, but may prevent my attending the Immaculata Mission School.

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