Springtime Mission School Additional Children Registration

Emergency Contact Name *

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

What Sacraments have they received? *

Do they have any Health Conditions? *

Please note: Participants with asthma and/or anaphylaxis must provide a current GP-signed Asthma Action Plan and/or Anaphylaxis Action Plan, prior to the commencement of IMS. These plans help us provide safe and appropriate care during the event. Please email the relevant plan(s) to immaculatamissionschool@gmail.com prior to IMS.

Please also ensure that your asthma reliever medication and/or EpiPen/Anapen is brought to IMS and presented at registration upon arrival. These medications will be sighted at registration and must be kept with you at all times throughout IMS.

Please select all health conditions that apply to them *

Please provide details of their Health Condition(s)

Do they take any Medication?

Do they have any Dietary Requirements? *

Please select all Dietary Requirements that apply to them *

Please provide details of their dietary requirements, allergies, or food intolerances

Do they require accommodation on-site? *

Do they have any other special requirements or anything we need to know?

Please upload a recent headshot of your child *

Permission to attend the Springtime Immaculata Mission School 2026 & Waiver *

Parental Consent *

I give permission for my child/children to attend the Springtime Immaculata Mission School 2026, to be held at Kildare Catholic College (Coleman St, Wagga Wagga NSW 2650) and to participate in children’s ministry activities. I understand that all reasonable attempts will be taken by the Immaculata Community and authorised Staff and Volunteers to provide adequate supervision of my child/children and that, wherever possible and according to my child’s/children’s age and ability, my child/children also needs to cooperate and abide by the rules of the Mission School and to follow instructions given by leaders.

Indemnity *

I understand that while every reasonable precaution will be undertaken to ensure my child’s/children’s protection, I hereby release the Immaculata Community and authorised Staff and Volunteers (hereafter “the Immaculata Community”) from any and all liability in the event of any injury, accident, misfortune, damage or loss that may occur to my child/children while present at the Springtime Immaculata Mission School 2026 (hereafter “IMS”). Further, I indemnify the Immaculata Community from and against all loss, including legal expenses, connected with or arising from any claims or demands in relation to my child’s/children’s attendance at IMS.

Medical Treatment Consent *

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

Privacy Declaration *

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

Medication Administration Consent *

I give permission for the on-site Registered Nurse to administer the following non-prescription medications to my child if/as required:

Paracetamol (Panadol): *

Ibuprofen (Nurofen): *

Loperamide (Imodium): *

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

What Sacraments have they received? *

Do they have any Health Conditions? *

Please note: Participants with asthma and/or anaphylaxis must provide a current GP-signed Asthma Action Plan and/or Anaphylaxis Action Plan, prior to the commencement of IMS. These plans help us provide safe and appropriate care during the event. Please email the relevant plan(s) to immaculatamissionschool@gmail.com prior to IMS.

Please also ensure that your asthma reliever medication and/or EpiPen/Anapen is brought to IMS and presented at registration upon arrival. These medications will be sighted at registration and must be kept with you at all times throughout IMS.

Please select all health conditions that apply to them *

Please provide details of their Health Condition(s)

Do they take any Medication?

Do they have any Dietary Requirements? *

Please select all Dietary Requirements that apply to them *

Please provide details of their dietary requirements, allergies, or food intolerances

Do they require accommodation on-site? *

Do they have any other special requirements or anything we need to know?

Please upload a recent headshot of your child *

Permission to attend the Springtime Immaculata Mission School 2026 & Waiver *

Parental Consent *

I give permission for my child/children to attend the Springtime Immaculata Mission School 2026, to be held at Kildare Catholic College (Coleman St, Wagga Wagga NSW 2650) and to participate in children’s ministry activities. I understand that all reasonable attempts will be taken by the Immaculata Community and authorised Staff and Volunteers to provide adequate supervision of my child/children and that, wherever possible and according to my child’s/children’s age and ability, my child/children also needs to cooperate and abide by the rules of the Mission School and to follow instructions given by leaders.

Indemnity *

I understand that while every reasonable precaution will be undertaken to ensure my child’s/children’s protection, I hereby release the Immaculata Community and authorised Staff and Volunteers (hereafter “the Immaculata Community”) from any and all liability in the event of any injury, accident, misfortune, damage or loss that may occur to my child/children while present at the Springtime Immaculata Mission School 2026 (hereafter “IMS”). Further, I indemnify the Immaculata Community from and against all loss, including legal expenses, connected with or arising from any claims or demands in relation to my child’s/children’s attendance at IMS.

Medical Treatment Consent *

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

Privacy Declaration *

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

Medication Administration Consent *

I give permission for the on-site Registered Nurse to administer the following non-prescription medications to my child if/as required:

Paracetamol (Panadol): *

Ibuprofen (Nurofen): *

Loperamide (Imodium): *

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

What Sacraments have they received? *

Do they have any Health Conditions? *

Please note: Participants with asthma and/or anaphylaxis must provide a current GP-signed Asthma Action Plan and/or Anaphylaxis Action Plan, prior to the commencement of IMS. These plans help us provide safe and appropriate care during the event. Please email the relevant plan(s) to immaculatamissionschool@gmail.com prior to IMS.

Please also ensure that your asthma reliever medication and/or EpiPen/Anapen is brought to IMS and presented at registration upon arrival. These medications will be sighted at registration and must be kept with you at all times throughout IMS.

Please select all health conditions that apply to them *

Please provide details of their Health Condition(s)

Do they take any Medication?

Do they have any Dietary Requirements? *

Please select all Dietary Requirements that apply to them *

Please provide details of their dietary requirements, allergies, or food intolerances

Do they require accommodation on-site? *

Do they have any other special requirements or anything we need to know?

Please upload a recent headshot of your child *

Permission to attend the Springtime Immaculata Mission School 2026 & Waiver *

Parental Consent *

I give permission for my child/children to attend the Springtime Immaculata Mission School 2026, to be held at Kildare Catholic College (Coleman St, Wagga Wagga NSW 2650) and to participate in children’s ministry activities. I understand that all reasonable attempts will be taken by the Immaculata Community and authorised Staff and Volunteers to provide adequate supervision of my child/children and that, wherever possible and according to my child’s/children’s age and ability, my child/children also needs to cooperate and abide by the rules of the Mission School and to follow instructions given by leaders.

Indemnity *

I understand that while every reasonable precaution will be undertaken to ensure my child’s/children’s protection, I hereby release the Immaculata Community and authorised Staff and Volunteers (hereafter “the Immaculata Community”) from any and all liability in the event of any injury, accident, misfortune, damage or loss that may occur to my child/children while present at the Springtime Immaculata Mission School 2026 (hereafter “IMS”). Further, I indemnify the Immaculata Community from and against all loss, including legal expenses, connected with or arising from any claims or demands in relation to my child’s/children’s attendance at IMS.

Medical Treatment Consent *

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

Privacy Declaration *

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

Medication Administration Consent *

I give permission for the on-site Registered Nurse to administer the following non-prescription medications to my child if/as required:

Paracetamol (Panadol): *

Ibuprofen (Nurofen): *

Loperamide (Imodium): *

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

What Sacraments have they received? *

Do they have any Health Conditions? *

Please note: Participants with asthma and/or anaphylaxis must provide a current GP-signed Asthma Action Plan and/or Anaphylaxis Action Plan, prior to the commencement of IMS. These plans help us provide safe and appropriate care during the event. Please email the relevant plan(s) to immaculatamissionschool@gmail.com prior to IMS.

Please also ensure that your asthma reliever medication and/or EpiPen/Anapen is brought to IMS and presented at registration upon arrival. These medications will be sighted at registration and must be kept with you at all times throughout IMS.

Please select all health conditions that apply to them *

Please provide details of their Health Condition(s)

Do they take any Medication?

Do they have any Dietary Requirements? *

Please select all Dietary Requirements that apply to them *

Please provide details of their dietary requirements, allergies, or food intolerances

Do they require accommodation on-site? *

Do they have any other special requirements or anything we need to know?

Please upload a recent headshot of your child *

Permission to attend the Springtime Immaculata Mission School 2026 & Waiver *

Parental Consent *

I give permission for my child/children to attend the Springtime Immaculata Mission School 2026, to be held at Kildare Catholic College (Coleman St, Wagga Wagga NSW 2650) and to participate in children’s ministry activities. I understand that all reasonable attempts will be taken by the Immaculata Community and authorised Staff and Volunteers to provide adequate supervision of my child/children and that, wherever possible and according to my child’s/children’s age and ability, my child/children also needs to cooperate and abide by the rules of the Mission School and to follow instructions given by leaders.

Indemnity *

I understand that while every reasonable precaution will be undertaken to ensure my child’s/children’s protection, I hereby release the Immaculata Community and authorised Staff and Volunteers (hereafter “the Immaculata Community”) from any and all liability in the event of any injury, accident, misfortune, damage or loss that may occur to my child/children while present at the Springtime Immaculata Mission School 2026 (hereafter “IMS”). Further, I indemnify the Immaculata Community from and against all loss, including legal expenses, connected with or arising from any claims or demands in relation to my child’s/children’s attendance at IMS.

Medical Treatment Consent *

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

Privacy Declaration *

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

Medication Administration Consent *

I give permission for the on-site Registered Nurse to administer the following non-prescription medications to my child if/as required:

Paracetamol (Panadol): *

Ibuprofen (Nurofen): *

Loperamide (Imodium): *

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

What Sacraments have they received? *

Do they have any Health Conditions? *

Please note: Participants with asthma and/or anaphylaxis must provide a current GP-signed Asthma Action Plan and/or Anaphylaxis Action Plan, prior to the commencement of IMS. These plans help us provide safe and appropriate care during the event. Please email the relevant plan(s) to immaculatamissionschool@gmail.com prior to IMS.

Please also ensure that your asthma reliever medication and/or EpiPen/Anapen is brought to IMS and presented at registration upon arrival. These medications will be sighted at registration and must be kept with you at all times throughout IMS.

Please select all health conditions that apply to them *

Please provide details of their Health Condition(s)

Do they take any Medication?

Do they have any Dietary Requirements? *

Please select all Dietary Requirements that apply to them *

Please provide details of their dietary requirements, allergies, or food intolerances

Do they require accommodation on-site? *

Do they have any other special requirements or anything we need to know?

Please upload a recent headshot of your child *

Permission to attend the Springtime Immaculata Mission School 2026 & Waiver *

Parental Consent *

I give permission for my child/children to attend the Springtime Immaculata Mission School 2026, to be held at Kildare Catholic College (Coleman St, Wagga Wagga NSW 2650) and to participate in children’s ministry activities. I understand that all reasonable attempts will be taken by the Immaculata Community and authorised Staff and Volunteers to provide adequate supervision of my child/children and that, wherever possible and according to my child’s/children’s age and ability, my child/children also needs to cooperate and abide by the rules of the Mission School and to follow instructions given by leaders.

Indemnity *

I understand that while every reasonable precaution will be undertaken to ensure my child’s/children’s protection, I hereby release the Immaculata Community and authorised Staff and Volunteers (hereafter “the Immaculata Community”) from any and all liability in the event of any injury, accident, misfortune, damage or loss that may occur to my child/children while present at the Springtime Immaculata Mission School 2026 (hereafter “IMS”). Further, I indemnify the Immaculata Community from and against all loss, including legal expenses, connected with or arising from any claims or demands in relation to my child’s/children’s attendance at IMS.

Medical Treatment Consent *

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

Privacy Declaration *

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

Medication Administration Consent *

I give permission for the on-site Registered Nurse to administer the following non-prescription medications to my child if/as required:

Paracetamol (Panadol): *

Ibuprofen (Nurofen): *

Loperamide (Imodium): *