Fuse 2024 • Gymea Anglican Church

This year, FUSE has a brand-new format with a thrilling Survivor twist. Instead of staying at our local campsite, we’re bringing the adventure closer to home. Join us for three action-packed days from October 8-10, with each day kicking off and wrapping up at Gymea Anglican Church.

We’ll embark on awesome day trips to places like Jamberoo Action Park. Over the three days, you’ll also have the chance to compete in epic challenges in your tribes to see who will Outwit, Outplay, and Outlast.

Expect fun games, delicious food, and meaningful time in the Bible as we think about the ultimate life adventure of following Jesus. It’s going to be an unforgettable experience filled with fun, friends, and faith.

Don’t miss out on this incredible Survivor-themed journey!

Type

Price

Quantity

1 Child family

Price
$250.00

Quantity
2 Child family

Price
$480.00

Quantity
3 Child family

Price
$680.00

Quantity
Leaders Ticket

Price
$250.00

Quantity

Applying discount...

1 Child family 0

Child/ ren Information

Child 1:

First Name *

Last Name

Gender

Date of Birth *

School attending

School Grade

Medicare Number *

Medicare Expiry Date

Position on card

Does your child have any medical conditions that we should know about (Please note that any medication on camp needs to be brought in original packet)?

Does your child have any care needs that we should know about? e.g Behavioural concerns or psychiatric care

Does your child have any special dietary needs that we should know about? e.g Food allergies etc

Do you give permission for your child to take paracetamol if required

Do you give permission for your child's photo to be taken and used in advertising material for Fuse?

Yes

Is there anyone who is legally restricted from seeing your child? if yes, please indicate who this is

Is your child capable of swimming more than 30m unassisted

Permission to watch a PG movie on movie night?

Does your child know anyone else coming to Fuse? if so please let us know who?

Child 2:

First Name

Last Name

Gender

Date of Birth

School attending

School Grade

Medicare Number

Medicare Expiry Date:

Position on card

Does your child have any medical conditions that we should know about? (Please note that any medication on camp needs to be brought in original packet)

Does your child have any care needs that we should know about? e.g Behavioural concerns or psychiatric care

Does your child have any special dietary needs that we should know about? e.g Food allergies etc

Do you give permission for your child to take paracetamol if required?

Do you give permission for your child's photo to be taken and used in advertising material for Fuse Camp?

Yes

Is there anyone who is legally restricted from seeing your child? If yes, please indicate who this is

Is your child capable of swimming more than 30m unassisted

Permission to watch a PG movie on movie night?

Does your child know anyone else coming to Fuse? if so please let us know who?

Child 3:

First Name

Last Name

Gender

Date of Birth

School attending

School Grade

Medicare Number

Medicare Expiry Date

Position on card

Does your child have any care needs that we should know about? E.g Behavioural concerns or psychiatric care

Does your child have any medical conditions that we should know about? (Please note that any medication on camp needs to be brought in original packet)

Does your child have any special dietary needs that we should know about? e.g Food allergies etc

Do you give permission for your child to take paracetamol if required?

Do you give permission for your child's photo to be taken and used in advertising material for Fuse ?

Yes

Is there anyone who is legally restricted from seeing your child? if yes, please indicate who this is

Is your child capable of swimming more than 30m unassisted

Permission to watch a PG movie on movie night?

Does your child know anyone else coming to Fuse? if so please let us know who?

Parent Information:

First Name *

Last Name

Mobile Number

Secondary Phone Number (spouse or close family member)

Email Address

Mailing Address

Do you require financial assistance? If 'Yes' camp coordinators will contact you

Emergency Contact:

First Name *

Last Name

Relationship to child

Contact Number

2 Child family 0

Child/ ren Information

Child 1:

First Name *

Last Name

Gender

Date of Birth *

School attending

School Grade

Medicare Number *

Medicare Expiry Date

Position on card

Does your child have any medical conditions that we should know about (Please note that any medication on camp needs to be brought in original packet)?

Does your child have any care needs that we should know about? e.g Behavioural concerns or psychiatric care

Does your child have any special dietary needs that we should know about? e.g Food allergies etc

Do you give permission for your child to take paracetamol if required

Do you give permission for your child's photo to be taken and used in advertising material for Fuse?

Yes

Is there anyone who is legally restricted from seeing your child? if yes, please indicate who this is

Is your child capable of swimming more than 30m unassisted

Permission to watch a PG movie on movie night?

Does your child know anyone else coming to Fuse? if so please let us know who?

Child 2:

First Name

Last Name

Gender

Date of Birth

School attending

School Grade

Medicare Number

Medicare Expiry Date:

Position on card

Does your child have any medical conditions that we should know about? (Please note that any medication on camp needs to be brought in original packet)

Does your child have any care needs that we should know about? e.g Behavioural concerns or psychiatric care

Does your child have any special dietary needs that we should know about? e.g Food allergies etc

Do you give permission for your child to take paracetamol if required?

Do you give permission for your child's photo to be taken and used in advertising material for Fuse Camp?

Yes

Is there anyone who is legally restricted from seeing your child? If yes, please indicate who this is

Is your child capable of swimming more than 30m unassisted

Permission to watch a PG movie on movie night?

Does your child know anyone else coming to Fuse? if so please let us know who?

Child 3:

First Name

Last Name

Gender

Date of Birth

School attending

School Grade

Medicare Number

Medicare Expiry Date

Position on card

Does your child have any care needs that we should know about? E.g Behavioural concerns or psychiatric care

Does your child have any medical conditions that we should know about? (Please note that any medication on camp needs to be brought in original packet)

Does your child have any special dietary needs that we should know about? e.g Food allergies etc

Do you give permission for your child to take paracetamol if required?

Do you give permission for your child's photo to be taken and used in advertising material for Fuse ?

Yes

Is there anyone who is legally restricted from seeing your child? if yes, please indicate who this is

Is your child capable of swimming more than 30m unassisted

Permission to watch a PG movie on movie night?

Does your child know anyone else coming to Fuse? if so please let us know who?

Parent Information:

First Name *

Last Name

Mobile Number

Secondary Phone Number (spouse or close family member)

Email Address

Mailing Address

Do you require financial assistance? If 'Yes' camp coordinators will contact you

Emergency Contact:

First Name *

Last Name

Relationship to child

Contact Number

3 Child family 0

Child/ ren Information

Child 1:

First Name *

Last Name

Gender

Date of Birth *

School attending

School Grade

Medicare Number *

Medicare Expiry Date

Position on card

Does your child have any medical conditions that we should know about (Please note that any medication on camp needs to be brought in original packet)?

Does your child have any care needs that we should know about? e.g Behavioural concerns or psychiatric care

Does your child have any special dietary needs that we should know about? e.g Food allergies etc

Do you give permission for your child to take paracetamol if required

Do you give permission for your child's photo to be taken and used in advertising material for Fuse?

Yes

Is there anyone who is legally restricted from seeing your child? if yes, please indicate who this is

Is your child capable of swimming more than 30m unassisted

Permission to watch a PG movie on movie night?

Does your child know anyone else coming to Fuse? if so please let us know who?

Child 2:

First Name

Last Name

Gender

Date of Birth

School attending

School Grade

Medicare Number

Medicare Expiry Date:

Position on card

Does your child have any medical conditions that we should know about? (Please note that any medication on camp needs to be brought in original packet)

Does your child have any care needs that we should know about? e.g Behavioural concerns or psychiatric care

Does your child have any special dietary needs that we should know about? e.g Food allergies etc

Do you give permission for your child to take paracetamol if required?

Do you give permission for your child's photo to be taken and used in advertising material for Fuse Camp?

Yes

Is there anyone who is legally restricted from seeing your child? If yes, please indicate who this is

Is your child capable of swimming more than 30m unassisted

Permission to watch a PG movie on movie night?

Does your child know anyone else coming to Fuse? if so please let us know who?

Child 3:

First Name

Last Name

Gender

Date of Birth

School attending

School Grade

Medicare Number

Medicare Expiry Date

Position on card

Does your child have any care needs that we should know about? E.g Behavioural concerns or psychiatric care

Does your child have any medical conditions that we should know about? (Please note that any medication on camp needs to be brought in original packet)

Does your child have any special dietary needs that we should know about? e.g Food allergies etc

Do you give permission for your child to take paracetamol if required?

Do you give permission for your child's photo to be taken and used in advertising material for Fuse ?

Yes

Is there anyone who is legally restricted from seeing your child? if yes, please indicate who this is

Is your child capable of swimming more than 30m unassisted

Permission to watch a PG movie on movie night?

Does your child know anyone else coming to Fuse? if so please let us know who?

Parent Information:

First Name *

Last Name

Mobile Number

Secondary Phone Number (spouse or close family member)

Email Address

Mailing Address

Do you require financial assistance? If 'Yes' camp coordinators will contact you

Emergency Contact:

First Name *

Last Name

Relationship to child

Contact Number

Leaders Ticket 0

Child/ ren Information

Child 1:

First Name *

Last Name

Gender

Date of Birth *

School attending

School Grade

Medicare Number *

Medicare Expiry Date

Position on card

Does your child have any medical conditions that we should know about (Please note that any medication on camp needs to be brought in original packet)?

Does your child have any care needs that we should know about? e.g Behavioural concerns or psychiatric care

Does your child have any special dietary needs that we should know about? e.g Food allergies etc

Do you give permission for your child to take paracetamol if required

Do you give permission for your child's photo to be taken and used in advertising material for Fuse?

Yes

Is there anyone who is legally restricted from seeing your child? if yes, please indicate who this is

Is your child capable of swimming more than 30m unassisted

Permission to watch a PG movie on movie night?

Does your child know anyone else coming to Fuse? if so please let us know who?

Child 2:

First Name

Last Name

Gender

Date of Birth

School attending

School Grade

Medicare Number

Medicare Expiry Date:

Position on card

Does your child have any medical conditions that we should know about? (Please note that any medication on camp needs to be brought in original packet)

Does your child have any care needs that we should know about? e.g Behavioural concerns or psychiatric care

Does your child have any special dietary needs that we should know about? e.g Food allergies etc

Do you give permission for your child to take paracetamol if required?

Do you give permission for your child's photo to be taken and used in advertising material for Fuse Camp?

Yes

Is there anyone who is legally restricted from seeing your child? If yes, please indicate who this is

Is your child capable of swimming more than 30m unassisted

Permission to watch a PG movie on movie night?

Does your child know anyone else coming to Fuse? if so please let us know who?

Child 3:

First Name

Last Name

Gender

Date of Birth

School attending

School Grade

Medicare Number

Medicare Expiry Date

Position on card

Does your child have any care needs that we should know about? E.g Behavioural concerns or psychiatric care

Does your child have any medical conditions that we should know about? (Please note that any medication on camp needs to be brought in original packet)

Does your child have any special dietary needs that we should know about? e.g Food allergies etc

Do you give permission for your child to take paracetamol if required?

Do you give permission for your child's photo to be taken and used in advertising material for Fuse ?

Yes

Is there anyone who is legally restricted from seeing your child? if yes, please indicate who this is

Is your child capable of swimming more than 30m unassisted

Permission to watch a PG movie on movie night?

Does your child know anyone else coming to Fuse? if so please let us know who?

Parent Information:

First Name *

Last Name

Mobile Number

Secondary Phone Number (spouse or close family member)

Email Address

Mailing Address

Do you require financial assistance? If 'Yes' camp coordinators will contact you

Emergency Contact:

First Name *

Last Name

Relationship to child

Contact Number