Launch Camp 2024 registration

NQLaunch is for year 12-10 students and will run 6th-10th April at Quinola Lakes. Registrations are $200. Please contact Lydia or your local church if finances are a barrier to attending camp. We are excited to see you there!

Please note: while registrations are now through Cairns Presbyterian Church, this is the same camp that was run through Willows Presbyterian Church last year.

Attendee Details

First Name *

Last Name *

Preferred Name

Gender *

Date of Birth *

School Grade *

Are there any custody or family issues relating to your child that the camp director should be aware of? (leave blank if none)

Address

Street *

Suburb *

City

State

Postcode

Parent / Guardian information

Parent/Guardian Name *

Parent/Guardian Mobile Number *

Parent/Guardian Email Address *

Emergency contacts

First emergency contact *

First emergency contact relationship to attendee *

First emergency contact phone number *

Second emergency contact *

Second emergency contact relationship to attendee *

Second emergency contact phone number *

Medical and health information

Medicare Number (please enter numbers only, no spaces or /) *

Medicare Card Expiry Date *

Can panadol be given if required? *

Is other medication required? *

Please provide further information around medication required

Does the attendee have any dietary requirements? *

Please provide a short description of dietary requirements

Does the attendee have any other allergies? (e.g. medication, animals, plants, etc) *

Please provide a short description of any further allergies

If the attendee has any other medical, psychological, social, behavioural or other conditions that should be known by the Camp Director, please list them below or contact the Camp Director directly.

Family Doctor / Medical Centre Phone Number *

Camp Information

Have you been to Launch Camp before? *

How will the attendee by transported to and from camp? *

Swimming ability *

Restricted activities

Tip: Please list any activities you DO NOT want your child participating in at camp (leave blank if none)

Your agreement with Presbyterian Church of Queensland (PCQ):

You acknowledge the following:
1. Privacy: Protecting your privacy is important to us. The information we seek allows us to manage risk, provide reasonable care and administer involvement in our program. We will not disclose personal information to any third party, unless compelled by law, but provide it only to those who are acting on behalf of the Presbyterian Church of Queensland who need it to enable them to perform their approved activities (e.g. Camp Director, First Aid officer). Unless you explicitly advise otherwise, you consent to appropriate use by us of photographs taken on the program that include your child, such as in our official publications including websites and social media platforms.
2. Medical: You also acknowledge that while the Presbyterian Church of Queensland and its agents will make every reasonable effort to minimise exposure to known risks, every hazard associated with activities cannot be foreseen or may be beyond the control of the Presbyterian Church of Queensland and its agents. In the event of any emergency where your nominated contact people are unavailable, you authorise the Presbyterian Church of Queensland and its agents to obtain medical advice and/or assistance which they deem necessary. You further authorise qualified practitioners to administer anaesthetic if required. You accept all operation, blood transfusion and/or anaesthetic risks involved in the event that such procedures are deemed necessary. You accept the responsibility for payment and agree to pay medical, transport and any other related expenses. You confirm that the information contained in this online registration is true and correct. You agree to inform the Camp Director of any change to these details. You are welcome to contact our office (07 47231232) in relation to issues regarding your personal information and for a copy of our Privacy Policy.
3. Refund Policy: We will always seek to refund as much money as we possiblly can. This will be worked out on a case by case basis and in consultation with those involved.

Parental Permission

I understand that by clicking 'SUBMIT' I give permission for my child to attend this camp and I will pay the appropriate camp fees.