Bracko Youth Camp 2026 • Bracken Ridge Baptist Church

Male Camp Participant 0

Camper Details

First Name *

Last Name *

Date of Birth *

Gender

School Grade *

Medical and Consent Details

Medical Conditions and Allergies *

Dietary Requirements?

Will your child require medication on camp? *

Medication details and instructions for taking *

Campers swimming ability *

Do you consent for paracetamol to be administered on camp if necessary? *

Yes

Do you consent for your child to travel in a leaders car? *

Yes

Tip: Participants will be traveling to and from camp on the bus. Leader's cars will only be used in emergencies

Do you consent for photos/videos of your child to be taken on camp and used on social media, for marketing or advertising purposes? *

Yes

Have you completed a medical and consent form? *

Yes

Tip: Medical and consent forms are required to be updated yearly

Find the medical and consent form here.

Emergency Contact Details

Emergency Contact Name *

Email Address *

Contact Number *

Relationship to Camper *

Second Emergency Contact

Emergency Contact Name

Email Address

Contact Number

Relationship to Camper

Female Camp Participant 0

Camper Details

First Name *

Last Name *

Date of Birth *

Gender

School Grade *

Medical and Consent Details

Medical Conditions and Allergies *

Dietary Requirements?

Will your child require medication on camp? *

Medication details and instructions for taking *

Campers swimming ability *

Do you consent for paracetamol to be administered on camp if necessary? *

Yes

Do you consent for your child to travel in a leaders car? *

Yes

Tip: Participants will be traveling to and from camp on the bus. Leader's cars will only be used in emergencies

Do you consent for photos/videos of your child to be taken on camp and used on social media, for marketing or advertising purposes? *

Yes

Have you completed a medical and consent form? *

Yes

Tip: Medical and consent forms are required to be updated yearly

Find the medical and consent form here.

Emergency Contact Details

Emergency Contact Name *

Email Address *

Contact Number *

Relationship to Camper *

Second Emergency Contact

Emergency Contact Name

Email Address

Contact Number

Relationship to Camper

Date & Time

Male Camp Participant 0

Camper Details

Medical and Consent Details

Emergency Contact Details

Second Emergency Contact

Female Camp Participant 0

Camper Details

Medical and Consent Details

Emergency Contact Details

Second Emergency Contact