Youth Activity/Event Consent Form

To participate in any events, activities, or groups facilitated by ELAM, this form must be fully completed and signed by a parent or guardian for youth under the age of 16. By signing this form, you acknowledge and agree to the accuracy of the information provided and to the terms outlined by ELAM. Please note: All youth activity events and group sessions must be booked exclusively through the ELAM website: https://www.elammoranbah.com/events. In the event that a youth participant is unable to attend a scheduled event, it is their responsibility to update their registration details promptly, thereby allowing another youth to participate in the open spot.

Youth Details

(If attending more than one school holiday activity, please put school holiday as the name of the event. Eg: September school holidays):

Permissions and agreements.

Please carefully select your preferences in the drop-down boxes provided. By signing at the end of this form, you agree to and accept the terms you have chosen. These selections will become valid and binding upon signature.

Permission/Consent and Indemnity Agreement.

I acknowledge that all due care and responsibility for ensuring the safety of my child will be undertaken by the supervisors. I fully comprehend and willingly assume the responsibilities and risks associated with participating in the specified event/activity.

I hereby indemnify ELAM Inc., its employees, agents, and professional partners from any claims made by or on behalf of myself or my child regarding any injury sustained from any cause whatsoever while participating in the event/activity, including during transportation provided or organised by ELAM Inc., its staff, or volunteers.

Furthermore, I acknowledge that:

1. Information will be recorded about me/my child to provide a service.

2. I have the right to privacy and confidentiality concerning the recorded information.

3. I can request access to the personal information recorded about me/my child.

4. Information will not be shared with others without my consent, except for duty of care reasons or as required by law, as explained to me.

5. I have the right to withdraw my consent at any time.

Parent/Guardian Photograph and Media Authority.

I, (Parent/Guardian), hereby grant permission for Emergency Long Term Accommodation in Moranbah (ELAM) and its professional partners to use photographs and other media of my child/children/participants named below:

I understand that these images will be used exclusively for promotional and production purposes related to this activity and will appear in associated graphic materials, whether in print or electronically produced.

Furthermore, I acknowledge that the absolute and entire copyright and rights, including all rights of reproduction of the photograph(s), belong to Emergency Long Term Accommodation in Moranbah (ELAM).

Medication Agreement

Medication Agreement If the participant is aged 16yrs or under and needs to take medication whilst attending an ELAM Youth Event or Activity, please select one only of the medication agreement statements below.

PLEASE NOTE: All medication, including details of the administration of medication must be given to the Youth Development Officer or designated supervisor before commencement of activity/event or departure for activities involving travel.

Parental/Guardian Signature

Consent Statement: I the (Parent/Guardian), acknowledge that I have reviewed and understood the information provided about this Event/Group, and I give my consent for the above youth to participate. I understand the nature of the activity and the potential risks involved, and I agree to the terms outlined in this consent form.