Event Registration

First Name *

Last Name *

Gender *

How old is the person attending AYC? *

Country of Birth *

Language spoken at home

Address *

Suburb *

Postcode *

Preferred Contact Number *

Alternate Contact number

Email Address *

Emergency contact name *

Emergency Contact Phone *

Are you or your family receiving government benefits (we use this information to prioritise who we assist when we are overbooked)

Registrations are essential due to COVID laws. Please tick which activities events you would like to attend. Excursions, First Aid Training and our cooking project have limited numbers.

I would like to attend the Red Cross Provide First Aid Training on the 20th and 21st January from 10am - 5.30pm. I am aged between 16 and 24. I will attend both days and stay until the finish of the day..

BOOK ME INTO THE 2 DAY FIRST AID TRAINING

Conditions of Registration and Participation, please mark each box. *

Participants maintain full responsibility for all their own personal belongings

All participants must adhere to health and safety instructions and act in a manner that is safe for all other participants.

Participants acting inappropriately, threateningly or showing disrespect to other people will be asked to leave. If behaviour is in breach of Australian Law AYC reserves the right to contact the appropriate law enforcement agency.

When activities are overbooked AYC will prioritise attendance on the basis of who the program would most benefit.

I will confirm my attendance on excursions and for the first aid course by responding to AYC contact. Should I not do so my place will be given to someone else.

I / my son/ my daughter will not attend AYC activities is we are unwell, have a temperature, have a cough or ahve been in contact with anyone with COVID - 19.

My image / my sons /daughters image can be used by AYC for promtional purposes. If I do not agree I will email admin@ayc.org.au to notify management.

In the event of any unforeseen accident or illness I consent for to obtain required medical assistance and agree to meet any costs relating to this treatment.

The school holiday program is funded by, NSW Dept of Communities and Justice. I consent to my / my sons / my daughters details being used for this purpose. I will email admin@ayc.org.au if I do not agree to this information being kept.

Please tell us of any allergies or illnesses

Details

Contact details