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Camper’s Personal Details: 

Name: ________________________________________________________

Preferred Name for site pass: _____________________________________

Date of Birth: ___________________________________________________

Home Address: _________________________________________________

______________________________________________________________

Phone Number: (_______)________________________________________

Are there any court orders in place in relation to this child that we need to

know about? Yes / No

f yes, please provide any necessary information, or telephone the Group

Coordinator to discuss your situation.

 _______________________________________________________

 _________________________

Attendance: (please tick) 

 Camper (aged 12-17 years)

 Sibling (attending with adult)

 Full Time or 

 Part Time  Saturday  Sunday  Monday

Notes (if required) ______________________________________________

 _________________________

Parent/Guardian’s Details:

Name: _______________________________________________________

Relationship to child: ___________________________________________

Mobile: ______________________________________________________

Email: _______________________________________________________

 Alternative Emergency contact (optional):

Name: _______________________________________________________ 

Relationship to child: ___________________________________________

Phone Contact: ________________________________________________

Parent/Guardian Declaration:I give permission for my child to attend SAYCO 2011 as a camper/sibling and have provided all

necessary and relevant information regarding medical conditions or special circumstances

relating to my child that the leaders of SAYCO should be aware of. I agree to delegate my

authority to the Leaders involved. I understand that if my child’s behaviour becomes

inappropriate or unmanageable during SAYCO, the leaders may take disciplinary action they

deem necessary to ensure the safety and well-being of all participants and, if further necessary,

they will be asked to leave and I will need to cover any associated expenses to get my child home

safely. In the case of sickness/accident, where it is impracticable to communicate with me, or my

emergency contact, I authorise the Group Coordinator, to arrange for my child to receive medical

treatment, as deemed necessary, on advice from St John’s personnel, during SAYCO. I further

authorise the use of Ambulance and/or anaesthetic by a qualified medical practitioner if in his/

her judgement it is necessary. I accept responsibility for payment of all e xpenses associated with

such treatment and/or emergency attendance/transport. I understand that this information will

be stored in a secure and confidential manner.

Signed: ______________________________ Date:____________________

About SAYCO...

SAYCO is an event for young people that encourages them in a personal relationship with Jesus Christ; motivating them to action.

SAYCO is an annual camp for 12-17 year olds. SAYCO brings together young people from across the state in a fun, relaxed, camping envi-

onment. It is a safe place to come, have a great time and connect with God. SAYCO is an event that stands on it’s own for of fering young

people of this age a place to explore their faith.

SAYCO 2011 will be held at Woodcroft College on the October long weekend (October 1-3, 2011). Campers come as part of a local church

group and camp on an oval. Catering, supervision and care of campers is provided for by church groups.

SAYCO is run by the Uniting Church SA and is an ecumenical event.

SAYCO is a drug free, smoke free and alcohol free event.

SAYCO 2 11 Camper’s Registration Form 

OF DIFFERENCE

WOODCROFT COLLEGE // 12-17YR OLDS

RALPH MAYHEW SPEAKING feat JOURNEY UC BAND 

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