Name *
Name
Gender *
Date of Birth *
Date of Birth
Address *
Address
Email *
Mobile Number *
Home Phone Number
Emergency Contact Name *

If you are under 18 years of age, this must be a parent or legal guardian.

Emergency Contact Number *
Emergency Contact Email *
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? *

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.

Do you take any Medication?
Please provide details of any medication you are currently taking
Do you have any Dietary Requirements? *
Do you require accommodation on-site? *
Do you have any special requirements (e.g. accommodation needs) or other important information we should be aware of?
Please upload a recent headshot of yourself *
Drag & Drop Files, Choose Files to Upload
These are for use only by our admin team for safety purposes, so we can easily identify participants. Accepted file types: JPG, JPEG, PNG

Code of Conduct *

Due to the nature of the Springtime 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 Springtime Immaculata Mission School 2026 (hereafter “IMS”) I will:

  1. 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.
  2. 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.
  3. Respect and uphold the teachings of Christ and the Catholic Church.
  4. Refrain from inappropriate sexual conduct, including harassment, verbal abuse etc. This includes refraining from making jokes of a sexual nature.
  5. Not use or possess any illegal drugs or substances and comply with the school being alcohol-free. Smoking, vaping, and the possession, distribution or consumption of alcohol are not permitted on the school.
  6. Report to the leaders any concerns I have about the safety or wellbeing of myself or others.
  7. Take responsibility for myself, my conduct and my personal property.
Acceptance of Code of Conduct *
Code of Conduct Agreement

IMS Waiver

Indemnity *

I understand that while every reasonable precaution will be undertaken to ensure my protection, I hereby release the Immaculata Community and authorised Staff and Volunteers (hereafter “Immaculata Community”) 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 Springtime Immaculata Mission School (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 attendance at IMS.

Indemnity Agreement
Medical Treatment Consent *

I give permission for the Immaculata Community 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.

Medical Consent
Privacy Declaration *

I understand that the Immaculata Community 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 Immaculata Community 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 Immaculata Community reserves the right to use this material, including my image and/or voice, for promotional purposes or other resources.

Privacy Agreement
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.

Conviction Declaration