ABOVE & BEYOND - IMPACT YOUTH CAMP 2023 • Good Shepherd Baptist Church

Monday 10th - Thursday 13th April

Open to - Year 7-12 High School Students
Camp Location - Tunnel Ridge Ranch / 61 Kowald Rd, Landsborough QLD
Camp Start - Departure from Good Shepherd Baptist Church @ 9:30am on Monday 10th April
Camp Finish - Pickup from Good Shepherd Baptist Church @ 4:30pm on Thursday 13th April
Camp Speaker - Soren Sundararaj (Missionary to Sri Lanka)

Camp Cost
- $250 per person ($200 for a second child in the same family)
- Includes all Transport, Meals, Accommodation, Activities & Supplies.
- Payments can be made at the church office during the week, or via EFT, using the following details:
  - GSBC Youth Account BSB 034 272 Account # 117312. (Use teen's name as a reference)

-------------------------

Details

PRIMARY Parent / Carer Details

Relationship to Child/ren *

Father

Mother

Guardian

First Name

Last Name

Mobile Number

Email Address

-------------------------

SECONDARY Parent / Carer Details

Relationship to Child/ren

Father

Mother

Guardian

First Name

Last Name

Mobile Number

Email Address

-------------------------

ATTENDING CHILDREN - Please fill out every field for each attending child

Child #1

First Name *

Last Name *

Gender *

Male

Female

Birthdate *

Food/Other Allergies *

Please provide any necessary MEDICAL information *

-------------------------

Child #2

First Name

Last Name

Gender

Male

Female

Birthdate

Food/Other Allergies

Please provide any necessary MEDICAL information

-------------------------

CONSENT

While Good Shepherd Baptist Church aims to exercise reasonable care during the running of this event, I hereby release Good Shepherd Baptist Church and its leaders from any liability whatsoever arising out of injury, damage, or loss that may occur. In the event of an accident or illness, I authorise the camp leaders to obtain or administer any immediate medical assistance or treatment my child/ren may reasonably require before contacting me.

I give my consent *

Yes