AYC Summer 2023 School holiday program
To register, please complete this registration form

All activities  are open to anyone 12-24 year of age. 
Book Now, Limited places Instructions on website or call 96462122
Please complete the information for the person taking part in the activity.

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Participant Details
Please complete the information below for the person wanting to take part in the activity.
AYC Membership Number:
First Name? *
Surname? *
Date of Birth:                                   *
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Gender: *
Street address *
Suburb: *
Postcode: *
Phone: *
Email address *
I would like to join the AYC mailing list and receive regular updates on local activities and opportunities *

Is there any medical information we need to know about the participant?

Emergency Contact Details
This is someone over 18 who we can contact in emergencies.
Emergency Contact Name *
Emergency Contact Mobile Phone Number *
What is the relationship between the person taking part in the activity and the emergency contact? *
Additional information
This helps us assess who is given priority
What is your Country of Birth?
Are you of Australian Aboriginal or Torre Strait Islander back ground?
Clear selection
Do you receive any government benefits?
Authorisations

I authorise Auburn Youth Centre staff in the event of any unforeseen accident or illness to obtain required medical assistance and agree to meet any expenses relating to such treatment.

*
Which activities would the participant like to take part in?
Thursday 5th Jan - Mural Painting 1pm-3pm
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Friday 6th Jan - Excursion to Bundeena Beach 9am-5pm
Clear selection
Tuesday 10th Jan - T-shirt painting and tie dying activities 12pm-2pm
Clear selection
Wednesday 11th Jan- Excursion to the Aquatic Centre 9am-5pm
Clear selection
Thursday 12th Jan  - Multi sports Competition 2pm-5pm
Clear selection
Friday 13th Jan - Volley Ball competition 12pm -2pm Warm up 2pm-4pm - Competition
Clear selection
Monday 16th Jan  - Cooking Club Sushi making 12pm-2pm
Clear selection
Tuesday 17th Jan - Origami Art session 12pm-2pm
Clear selection
Thursday 19th Jan  - Music Day/Karaoke 12pm-2pm
Clear selection
Friday 20th Jan - Goal ball 12pm-1pm Futsal Competition 1:30pm-4pm
Clear selection
Monday 23rd Jan  - Cooking Club Pasta making 12pm-2pm
Clear selection
Tuesday 24th Jan  - Create a comic strip with Award Winning Artist  Alister Lockhart 12pm-4pm
Clear selection

Conditions of registration:

-       In order to book you in, you need to complete the registration form. Please attend all activities you register for as it costs AYC money   

-       You will be notified if you have been successful for excursions. All other activities you are immediately accepted when registered.

-       All activities are strictly for young people between 12-24 years old

-     Participants maintain full responsibility their belongings while attending this program.

-     All participants must adhere to health and safety instructions and behave in a way that is safe for all participants, staff and volunteers.

-     Participants found to behave inappropriately, in a threatening manner or being disrespectful to other’s beliefs and opinions may be asked to leave the program/s.

-     Auburn Youth Centre reserves the right to cancel a program at any time. For outdoor programs or physical activity programs poor weather or extreme heat may result in cancellation of a program. Where possible an alternate program will be held.

-     All information collected in this enrolment form is for the purposes of managing and delivering programs at Auburn Youth Centre.  All information will be collected and stored in line with the Centre’s Privacy and Confidentiality Policies.

-     Registering for an excursion does not mean you have been accepted.

-      I authorise Auburn Youth Centre staff and volunteers to take photos for use in AYC publications and to promote the centre and related programs. I will email AYC at admin@ayc.org.au should I not agree to this condition.

Priority for attending excursions will be given to the most disadvantaged. We will try to give everyone the opportunity to attend at least 1 excursion. 

For all Centre based activities you can turn up on the day without registering.

*
You will be notified if you have been successfully enrolled to excursions, for inhouse activities please turn up on the day.
Any queries contact 02 9646 2122 or email admin@ayc.org.au
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