REVIVE Winter Camp 2026 • St Hilary's

Revive Winter Camp Registration Form

Join us for this year’s REVIVE winter camp as we explore the theme of BATTLEFIELD which will take us through Paul's letter to the Church at Ephesus..

Youth can look forward to fun games and outdoor activities, vibrant worship music, inspiring talks, and faith-filled conversations!

Year 6-12 are at camp for 4 full days and this year transportation from St Hilary's Kew Campus will be provided.

Dates & Times:

Monday 6 July - Thursday 9 July

Drop Off: 8:00 am Monday

Pick Up: 4:00 pm Thursday

Camp Fees:

Youth Price: $370

Youth Sibling Price: $330

Earlybird - Closed

Location:

This year the camp will be held at Bayview Adventure Camp, located at 200 Grantville-Glen Alvie Road, Grantville, Victoria 3984. More information may be found here: bayviewcamp.com.au

Camper Details

Camper First Name *

Camper Last Name *

Date of Birth *

Age

School Grade

School attended

This registration is for: *

________________________________________________

Parent Contact Details

Parent's Name/s *

Email Address *

Mobile Number *

Mailing Address *

Mailing City *

Mailing Postcode *

________________________________________________

Medical Information and Dietary Requirements

Dietary Requirements *

Please use this space if you need to add further information

Please indicate if the person has any of the following requirements: *

Are there any medical or psychological conditions which require special attention that we should know about e.g. diabetes, allergy to bee sting, other allergies, hearing or sight impairment, ADHD, behaviour issues, formal counselling situations, or any other? Please list below: *

Tip: Simply write "N/A" if not applicable

Is there any other information that would be useful to know about the camper? *

Please use this for further information

Medicare Number *

Doctor Name and Contact Details *

Tip: Please include name and contact number

Emergency Contact During Camp *

Tip: please include relationship to camper (i.e. parent)

Emergency Contact - Phone Number *

Tip: Feel free to add multiple numbers with name in brackets

MEDICAL CONSENT

I authorise the Leader in charge of any activity during REVIVE Winter Camp to consent on my behalf, where it is impractical to communicate with me, for me to receive any medical, surgical or dental treatment as may be deemed necessary. I also agree to indemnify St Hilary’s for the cost of any medical treatment deemed necessary.

Medical Consent *

I give my consent

I do not give my consent

CONSENT TO TAKE AND USE PHOTOGRAPHS

I understand that there may be photographs and/or video footage taken during these activities and am willing to be so filmed in appropriate settings. I am also willing for these photos or footage to be used to promote the ministry in a way that does not identify my name and details and are not published on a website or distributed in an electronic format without my consent.

Photo/Video Consent *

I give my consent

I do not give my consent

________________________________________________

Payment

Choose payment type *

Pay by bank transfer - St Hilary's Anglican Church, BSB: 633-000, Account No: 134986371

Cash - Via Church Office 9am - 5pm Monday to Friday

Credit Card ($0 fees) - see link below

For $0 fee credit card payment, go to: https://tinyurl.com/revivewintercamp.

Earlybird closed.

After 12 June, cost is $370 for the first child in a family and $330 for subsequent children.

If these prices are cost prohibitive please speak to a member of the ministry or finance team - 9816 7100

Cost per team member is $250 unless an alternative arrangement has been discussed with a member of the ministry or finance team

________________________________________________

Consents

I consent to my son/daughter’s participation in the activities of which I have received notification. I will encourage my son/daughter to participate and co-operate with the leaders and other participants.
I understand that it is my responsibility to drop off and pick up my son/daughter at the designated times. If my son/daughter is over eighteen and driving themselves, I will nominate another adult to sign them in.

Please note that checking the box and entering your name constitutes a legal agreement between St Hilary’s Anglican Church and yourself.

I consent to participation in the activities of which I have received notification. I will co-operate with other leaders and participants.
I understand that it is my responsibility to organise my own travel to and from the venue.
I have completed all the relevant safe ministry checks required by St Hilary's, the Anglican Diocese of Melbourne and the Department of Justice and have checked that they are currently up to date.

Please note that checking the box and entering your name constitutes a legal agreement between St Hilary’s Anglican Church and yourself.

Further Information, comments or questions

Tip: If there's anything else we need to know or any questions you'd like answers to, please use this box.

Full name of person making this agreement *

Tip: Parent or Guardian for those under eighteen years of age

Your Agreement with us *

I do consent

I do not give my consent