to your info pack

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to your info pack

INFORMATION PACK
29TH JULY - 1ST AUGUST 2015
CONFERENCE REGISTRATION
THE VENUE
PRICES
THE LOWRY THEATRE
(Day & Evening tickets are also available on the website)
ADULT TICKETS
Super Early Bird (until 15th September 2014) .......................... £60
Early Bird (Until 30th April 2015) ............................................. £70
Full Price ................................................................................. £80
CONCESSION TICKETS (Unemployed, Single Parents, Students)
Super Early Bird (until 15th September 2014) ......................... £50
Full Price ................................................................................. £70
YOUTH TICKETS
Full Price ................................................................................. £70
KIDS TICKETS
Full Price ................................................................................. £55
Second Sibling Early Bird (until 15th September 2014) ........... £35
Second Sibling Full Price ......................................................... £45
GROUP CONCESSION
20-49 delegates Adults ..................................................................................... £70
Youth ....................................................................................... £60
Kids ......................................................................................... £45
SUPER GROUP CONCESSION
50+ delegates
Adults ..................................................................................... £60
Youth ....................................................................................... £50
Kids ......................................................................................... £35
(Includes a group coordinator)
Pier 8, Salford Quays M50 3AZ
Set in a magnificent waterside location at the heart of the
redeveloped Salford Quays in Greater Manchester, The Lowry
is an architectural flagship with a unique and dynamic identity.
Rising from the regenerated docklands, it is a welcoming building,
designed to reflect the surrounding landscapes and flourishing
waterways, in its glass and metallic surfaces.
The Lowry houses two main theatres which will be used for
!Audacious, Brave & Fearless. The Lowry presents a full range of
drama, opera, ballet, dance, musicals, children’s shows, popular
music, jazz, folk and comedy, as well as gallery spaces; showing
the works of LS Lowry alongside contemporary exhibitions. You
may recognise the venue from watching ‘Britain’s Got Talent.’
This breathtaking international landmark also boasts a restaurant,
cafes & bars with spectacular waterside views and quayside
terraces overlooking the expansive Manchester Ship Canal.
Across from the venue, just a moments walk away, is the
Lowry Outlet Mall. This mall is a great place to relax within one
of the many restaurants and coffee shops, as well do a spot of
retail therapy in some of its 65 shops! It is also home to a large
Vue Cinema, for your entertainment. To see a full range of the
restaurant within the area please see the ‘Where To Eat’ section
in this pack.
MediaCityUK is situated next to the Lowry Theatre and has been
designed to provide a purpose-built space for creative and digital
businesses, both ITV and the BBC now find their home there.
MediaCityUK is a destination in its own right, complete with bars,
cafés and restaurants.
To register for conference please visit www.liveaudacious.com
ONE
AND
ALL
UNITE
!AUDACIOUS CONFERENCE INFO PACK 2015..... 2
SIGN IN
KIDS SESSION ONE
(QUAYS THEATRE)
PRE-SHOW
BRAVE
DOORS
REGISTRATION
FEARLESS
21:00 22:00
KIDS PICK UP
21:00 22:00
20:00 21:00
BREAK
AFTER PARTY
20:00 21:00
18:00 19:00
17:00 18:00
16:00 17:00
15:00 16:00
14:00 15:00
19:00 20:00
SESSION ONE
(MAIN THEATRE)
ADULTS
WEDNESDAY
13:00 14:00
12:00 13:00
11:00 12:00
10:00 11:00
09:00 10:00
TIME
19:00 20:00
18:00 19:00
17:00 18:00
16:00 17:00
TIME
ALL DELEGATES
BRAVE: KIDS (0-10)
ADULTS OVER 18s
FEARLESS: YOUTH 11-18s
11-18s & OVER 18s
PROGRAMME
BREAK
AFTER PARTY
SESSION FOUR: JEREMY JOHNSON
(MAIN THEATRE)
*subject to change
KIDS PICK UP
KIDS SESSION
(QUAYS THEATRE)
PRE-SHOW
KIDS PICK UP
KIDS SESSION
(QUAYS THEATRE)
SIGN IN
FREE TIME
AFTERNOON
ANTICS
(CAMPUS AREA)
LUNCH
SESSION THREE
(MAIN THEATRE)
DOORS
AFTERNOON
SESSION
(MAIN THEATRE)
ELECTIVE
SEMINARS
(COMPASS ROOM /
STUDIO ROOM)
BREAK
KIDS SESSION
(QUAYS THEATRE)
SESSION TWO
(MAIN THEATRE)
BRAVE
SIGN IN
FEARLESS
DOORS
ADULTS
THURSDAY
21:00 22:00
20:00 21:00
19:00 20:00
18:00 19:00
17:00 18:00
16:00 17:00
15:00 16:00
14:00 15:00
13:00 14:00
BREAK
AFTER PARTY
SESSION SEVEN
(MAIN THEATRE)
KIDS PICK UP
KIDS SESSION
(QUAYS THEATRE)
PRE-SHOW
KIDS PICK UP
KIDS SESSION
(QUAYS THEATRE)
SIGN IN
FREE TIME
AFTERNOON
ANTICS
(CAMPUS AREA)
LUNCH
SESSION SIX
(MAIN THEATRE)
DOORS
AFTERNOON
SESSION
(MAIN THEATRE)
ELECTIVE
SEMINARS
(COMPASS ROOM /
STUDIO ROOM)
19:00 20:00
18:00 19:00
17:00 18:00
16:00 17:00
15:00 16:00
14:00 15:00
13:00 14:00
!AUDACIOUS // ADULTS OVER 18s
FEARLESS // YOUTH 11-18s
11-18s & OVER 18s
SESSION TEN
(MAIN THEATRE)
DOORS
PRE-SHOW
LUNCH & FREE TIME
KIDS PICK UP
KIDS SESSION
(QUAYS THEATRE)
SIGN IN
KIDS PICK UP
*subject to change
ALL DELEGATES
BRAVE // KIDS (0-10)
SESSION NINE:
THE WILD ONE
(MAIN THEATRE)
12:00 13:00
12:00 13:00
BREAK / PROTÉGÉ INTERNSHIP INFO SESSION
(QUAYS THEATRE)
BREAK
11:00 12:00
KIDS SESSION
(QUAYS THEATRE)
SESSION EIGHT
(MAIN THEATRE)
BRAVE
SIGN IN
FEARLESS
DOORS
ADULTS
11:00 12:00
09:00 10:00
TIME
10:00 11:00
KIDS SESSION
(QUAYS THEATRE)
SESSION FIVE
(MAIN THEATRE)
BRAVE
SIGN IN
FEARLESS
DOORS
ADULTS
SATURDAY
10:00 11:00
09:00 10:00
TIME
FRIDAY
ACCOMMODATION
SUGGESTIONS
WHERE TO EAT!
17 Trafford Road, Salford, M5 3AW. Tel: 0808 1000 783
http://www.ramada.co.uk/
We all know how important it is to eat well while at conference!
Within the Lowry Theatre you will find a restaurant, two coffee
shops and various places to buy drinks and snacks. There is also
a large number of restaurants to choose from within the Lowry
Outlet Mall and at MediaCityUK. On your arrival at the conference
you will receive information regarding which restaurants and
coffee shops have meal deals/discounts available when delegates
present their wrists bands.
IBIS BUDGET HOTEL, SALFORD QUAYS
RESTAURANTS, TAKE AWAYS & CAFES INCLUDE:
There are a large number of hotels within walking distance of
Salford Quays. Including:
RAMADA MANCHESTER, SALFORD QUAYS
19 Trafford Road, Salford, M5 3AW. Tel: 0207 660 8090
http://www.ibis.com/
HOLIDAY INN EXPRESS, SALFORD QUAYS
We have partnered with Holiday Inn Express, Salford Quays to
help offer our delegates a great price for accommodation. Holiday
Inn have held a large number of their rooms at a competitive rate
until Sunday 28th June (Subject to availability) Please find the
details below:
- £90 per night for 3 nights (29th, 30th & 31st July)
- Includes Bed & Breakfast
- Price is per room (Rooms can accommodate 3 people)
- Car Parking in not included and will be charged at £3 a
day (if used)
To book call 0871 902 1623 or email info@expressmanchester.
co.uk and quote the reference ‘Audacious.’
PLEASE NOTE: There are a limited amount of rooms and we
advise to book without delay to avoid disappointment.
TRANSPORT
PUBLIC TRANSPORT TO & FROM SALFORD QUAYS
Should you wish to stay in Manchester City Centre, or if you are
travelling to the conference by public transport Salford Quays is
easily reached by public transport.
The easiest way to travel from Piccadilly Station, Manchester
Victoria Station or the City Centre of Manchester is on the
Metrolink tram system. A week pass for unlimited travel on
the Metrolink is £15.50 for an adult, or £6.70 for a child (5-15
year olds, 11-15 must carry proof of age). Alternatively, for a
day return it is £3.90 for an adult, or £1.60 for a child. For more
information regarding the trams, including further prices and time
tables please visit their website, http://www.metrolink.co.uk/ or
call them on 0161 205 2000.
PARKING NEAR SALFORD QUAYS
Please note that there is no parking at the venue, but there is
plenty around Salford Quays for you to use. The best way to find
the parking that suits you is to visit http://en.parkopedia.co.uk/
parking/salford_quays_salford/
COACH DROP OFFS & PICK UPS
The Lowry Outlet Mall
The Real China
Lime
Cafe Rouge
Harvester The Lowry
Bella Italia
Pizza Express
Nando’s
Subway
Fat Jackets
Damson
BB’s Coffee & Muffins
The DOCKyard
Sovereign Food & Wine
Pond-Quay
Dock Bar
Ramsdens Harry
Burger King
Chicken Cottage
Deli-Fresh
Tandoori Delights
MediaCityUK
Prezzo
Wagamama
SUPERMARKETS NEAR THE LOWRY:
Booths: MediaCityUK. Around a 5 minutes walk from the venue.
Tesco Express: Trafford Road. Around a 10 minutes walk from
the venue.
Morrisons Supermarket: Trafford Road. Around a 15 minutes
walk from the venue.
THE CLOAK ROOM
We are aware on the final day of conference many of you will
be checking out of your accommodation in the morning and
may have your luggage with you. If you do not have a vehicle to
store your bags in feel free to use the cloak room at the Lowry
theatre. There will be a charge of £1 per item. Please factor in to
your planning that the cloak room may be very busy on Saturday
morning, so please plan accordingly to avoid the disappointment
of missing part of the program.
If you and your group are traveling to conference on a coach
and need to be dropped off or collected from the venue there is
space for this to happen outside the Lowry Theatre. Please note:
Coaches can not park near the venue.
Brave Conference begins on Wednesday evening and after
that it runs throughout each day during Full Spectrum. As part
of the Brave program the children will be taking part in some
activities that will be off site. The daily schedule will be available
from reception during the conference week. Registration opens
each day at 9am, half an hour before the session starts. Brave
Conference morning session will then finish at the same time as
both the Fearless Youth Conference and the main adults sessions,
which is 1:15pm.
BRAVE CONFERENCE
(3-11 YEAR OLDS)
We are so excited to be launching our new kids conference,
BRAVE! We desire to see a generation of passionate kids who
love God, love their family, love the church and love their schools.
Through fun experiences, great teaching, crazy praise and
powerful prayers, BRAVE wants to equip every child to live an
awesome, courageous and daring life and become everything
that God has created them to be.
BRAVE is a declaration. BRAVE is who God has called each one
of us to be whether we are 7 years old or 99! BRAVE are the kids
of our nation!
Can’t wait to see you this summer.
Keith & Sarah Reid.
Brave Conference Hosts &
!Audacious Kids Pastors
BRAVE BABES - CRECHE
We want everyone to feel a part of the conference, no matter
how young! ‘Brave Babes’ is our brilliant creche facility at the
Lowry for parents to be able to go and be with their little ones
free of charge! Not only will you find a wide range of toys to
entertain your child, but there is also changing facilities and an
area to feed your children, with facilities to heat baby food and
warm milk. There will also be a cot area should you wish for your
baby to sleep while you watch the live feed from the main venue!
There will be a buggy park outside of the creche for your use, and
our fantastic Brave Creche Hosts will be on hand to help in any
way they can.
BRAVE TODDLERS - WALKING 1’S - 2
‘Brave Toddlers’ is a fun and creative fully staffed program during
the main three conference sessions each day. You can register
your toddler to be a part of this program at the beginning of each
day at a charge of £4 a session (£12 a day). Please note there
are limited availability but that the Brave Babes creche is also
available to be used by parents with toddlers.
BRAVE CONFERENCE - 3-11 YEAR OLDS
Brave Conference will be held in their very own amazing venue
within the Lowry - The Quays Theatre. Every day will be rampacked with crazy praise, powerful ministry and fun-filled
activities that every 3-11 years old is sure to LOVE!
However, for those who want to, the children are welcome to
stay through for an early afternoon session until 3:30pm. If the
children stay for the afternoon session please note that they will
need to bring a pack lunch. (for more information regarding what
the children will need to bring with them to Brave please see
the FAQ)
REGISTRATION
Brave Conference evening sessions begin at 5:45pm until
6:30pm, when the session will begin.
It is important to adhere to our conference schedule and pick up
your child on time each day, this is within 15 minutes of the main
session finishing.
COLLECTION PROCEDURE
Should a child need collecting from the program mid session.
In case of emergency the parent/guardian who is taking
responsibility for the child while at conference will be contact via
text by the Brave Staff.
CONSENT FORMS
All delegates under the age of 18 are required to have a consent
form, completed by their parent or guardians. These consent
forms can be found at the end of this pack, or downloaded
separately from www.liveaudacious.com. These consent forms
must be completed and handed in when you first register on your
arrival at the conference. Unfortunately anyone who is under
18 and does not have a consent form will be unable to attend
the conference. Please note there is different consent forms for
different age groups.
YOUR RESPONSIBILITY AS A LEADER
It is very important that you understand your responsibility as
someone who is bringing a group of children to the conference.
For every 6 delegates aged between 11-18 years old, and for
every 4 delegates aged between 3-11 year old that attends the
conference there must be one party leader, who is over the age of
18, who will take full responsibility for them while they are at the
conference.
Each party leader is required to complete and sign a “Leaders
Declaration Form” that is enclosed in this pack. Please have these
forms completed and ready to hand in when you first register on
your arrival at conference.
FAQs can be found at the end of this pack.
FEARLESS CONFERENCE
11-18 YEAR OLDS)
Looking back, we hear about young men and women who stood
for a cause greater than themselves, defied the odds, achieved
the impossible and left a legacy of changed lives that impacted
the world! Looking forward, our generation has the opportunity
to stand on the shoulders of those who have gone before and do
greater things, seeing what’s never been seen before!
We are fully committed to raising up this Fearless generation!
Those who know the truth and are ready to passionately lead the
way, bringing light to every part of this nation and the nations
of the world. Our greatest dreams lie on the other side of fear
and we believe as we come together many people will make the
decision to fearlessly follow Jesus on the greatest adventure we
could ever step into.
This is my command - be strong and courageous! Do not be
afraid or discouraged. For the Lord your God is with you wherever
you go. - Joshua 1:9
Are you ready to join the adventure?
Josh and Carly Cocker
Fearless Conference Hosts &
!Audacious Youth Pastors
THE FEARLESS YOUTH CONFERENCE PROGRAM
For the first session of each day Fearless Youth and the
!Audacious adults conference will come together in the main
theatre, the Lyric Theatre. These session will include powerful
God-encountering praise and worship from the !Audacious Band
and the Word will be brought by one of the conference’s keynote
speaker.
Fearless will then remain in the Lyric Theatre for their next
morning session as the adults make their way to their seminar
rooms. These sessions will be FUN-FILLED and action packed,
with the !Audacious Band plus powerful messages being brought
by Ps Jeremy Johnson (Fearless Church, L.A) and other keynote
speakers!
AFTERNOON ANTICS
During Thursday and Friday afternoon the Fearless Conference
Team will be hosting ‘Afternoon Antics’ these will be youth
activities based off the site of the main venue. Prepare yourself
for crazy, action packed, memory making afternoons of insane
fun! Afternoon antics will run from 2:30pm-4pm, leaving time for
you to then grab a bite for tea before the evening session begins
with the Pre-Show at 6pm.
CONSENT FORMS
All delegates under the age of 18 are required to have a consent
form, completed by their parent or guardians. These consent
forms can be found at the end of this pack, or downloaded
separately from www.liveaudacious.com. These consent forms
must be completed and handed to in when you register on your
arrival at conference. Unfortunately anyone who is under 18
and does not have a consent form will be unable to attend the
conference.
YOUR RESPONSIBILITY AS A YOUTH LEADER
The lunch break, whether you are a child, youth or adult will be at
1:15pm each day, then Fearless’ will continue into the afternoon
with ‘Afternoon Antics’!
It is very important that you understand your responsibility
as someone who is bringing a group of young people to the
conference. For every 6 delegates that attend the conference,
who are under the age of 18, there must be one party leader, who
is over the age of 18, who will take full responsibility for them
while they are at the conference. Each party leader is required to
complete and sign a “Leaders Declaration Form” that is enclosed
in this pack. Please have these forms completed and ready to
hand in when you register on the first day of the conference.
Fearless Youth will then rejoin the adults for each incredible
evening session in the Lyric Theatre. Each evening session is
then followed by ‘After Party’ activities at the venue that Fearless
Youth are invited to be a part of!
Please note that you are responsible for your young people at all
times, and therefore we require you as party leaders to remain
with your youth during the Fearless sessions, Afternoon Antics
and the After Parties.
ARRIVAL INFORMATION
ARE THE YOUTH SAFE WHILE AT FEARLESS
CONFERENCE PROGRAM?
Registration for the conference begins at 3pm on Wednesday
29th July and closes at 5:30pm. If you are bringing a group to
conference please note that only one or two people need to
come to register your group, we do NOT need your whole party
to be present. This will help avoid large queues and unnecessary
congestion at the venue. Please remember to bring with you any
consent forms for anyone under the age of 18 within your group
as well as your Party Leaders Declaration forms.
All of the Fearless team have up to date DBS checks and are
trained to work with young people in accordance to our Child
Protection and safeguarding policies. However, we must stress
that you are responsible for your young people at all times and
the importance of you remaining with your young people at
all times.
It is at registration you will receive your wristbands for the
conference and any additional information you will need.
FAQ FOR PARENTS/
GUARDIANS & GROUP LEADERS
We have tried our best to answer as many questions as possible,
however, if you still have any queries please do not hesitate to
contact a member of the !Audacious Conference Team at
the office.
WHAT WILL THE CHILDREN NEED TO BRING
EACH DAY?
1-2 YEAR OLD
They will need a changing bag, with change of clothes, a drink,
nappies and anything else you think your child might need.
(snacks will be provided)
3-11 YEAR OLDS
A filled drinks bottle, snack and lunch if they are staying for the
afternoon session, suitable clothes for the weather as they will be
going off site. They may wish to bring their own Bible and
note pad.
WHAT WILL A YOUTH NEED TO BRING EACH DAY?
We suggest everyone brings a their own Bible and note pad and
although drinks are on sale at the venue we suggest that young
people bring their own drink each day.
DOES MY CHILD NEED TO BE TOILET TRAINED TO
ATTEND BRAVE?
CAN OUR CHILDREN’S WORKERS ACCOMPANY
OUR CHILDREN INTO THE BRAVE PROGRAM?
Yes! We would love to partner with your children’s ministry,
please email keithreid@audaciouschurch.com to find out how.
WHAT HAPPENS IF I AM LATE TO PICK UP MY
CHILD FROM THE BRAVE PROGRAM?
It is important to adhere to our conference schedule and pick up
your child on time each day, this is within 15 minutes of the main
session finishing.
MY CHILD REQUIRES MEDICATION, CAN THE
BRAVE TEAM FACILITATE THIS?
We have a medical office on site who will log the medication and
administer it when required. Details of this must be logged on
your child’s consent form.
WHAT IF I CAN NOT COLLECT MY CHILD FROM
BRAVE AND WISH TO SEND SOMEONE ELSE IN
MY PLACE?
Where possible each child should be picked up by the same
parent/guardian. However, when this is not possible you may
register a second named adult who will be allowed to pick up the
child, when you bring your child to the session.
WHAT IS IN PLACE FOR CHILDREN AND YOUNG
PEOPLE WHO HAVE DISABILITIES?
It is our desire to welcome and include all children and young
people and accommodate their particular needs wherever
possible, if your child has additional a needs that we would
benefit from being aware of then please do get in contact.
If they are in the 3-11 year old program your child will need to
be toilet trained, however if they are in Brave Toddlers you will
be asked to complete a consent form giving the Brave staff
permission to change your child’s nappy.
WHAT IF I NEED TO CONTACT MY CHILD DURING
THE BRAVE PROGRAM?
There is a designated phone line for parents/guardians to contact
the Brave Team at all team. This number will be given to you
on registration.
ARE THE CHILDREN SAFE WHILE AT THE BRAVE
CONFERENCE PROGRAM?
All of the Brave team have up to date DBS checks and are trained
to work with children in accordance to our Child Protection and
safeguarding policies. We also have a security team on site at all
times.
CONSENT FORMS
11-18s CONSENT FORM
Delegate Name:
Date of Birth:
Male or Female:
Home Address:
Postcode:
Parent/Guardian Full Name:
Relationship to Child:
Parent/Guardian’s Contact Number:
Email:
Name of Family Doctor:
Doctor’s Address:
(to be contacted in case of an emergency)
Contact Number:
MEDICAL HISTORY
Asthma or Bronchitis
Sight or hearing impairment
Heart Conditions
Fits, fainting or blackouts
Sever headaches
Diabetes
Allergies to medication
Allergies to food, pollen or dust
Anaphylaxis
Other illness or disability
(Please specify)
K
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
......................................................................................................
......................................................................................................
......................................................................................................
•
I agree to the delegate named above taking part in the activities provided by !Audacious.
•
I confirm to the best of my knowledge that the delegate named does not suffer from any medical condition other than those
listed above.
•
I consent that in the case of an emergency / or I am not contactable, I am willing for the delegate named above to recieve the
necesary medical treatment including anaesthetic.
•
I understand that !Audacious accepts no responsibility for loss, damage or injury caused by or during attendance of !Audacious.
•
I consent to any photo’s or media footage being taken of the delegate named above whilst taking part in !Audacious and
understand that these may be used for future publicity.
•
I consent to the delegate named above travelling by any form of public transport, minibus or motor vehicle driven by an
!Audacious staff member during !Audacious.
Parent/Legal Guardian Signature:
Date:
Print Name:
At !AUDACIOUS 2015 parent/guardians of delegates who are under the age of 18 are required to complete this consent form. At all
other times during the conference the legal responsibility for the delegate named below will rest with the leader of the group they
attended with. Please read and complete this form carefully.
!AUDACIOUS, TRINITY WAY, MANCHESTER, M3 7BB, UK. +44 (0) 161 830 7000. WWW.LIVEAUDACIOUS.COM
CONSENT FORMS
1-2s CONSENT FORM
Full Name of Child:
Date of Birth:
Male or Female:
Home Address:
Postcode:
MEDICAL INFORMATION
RM
Has your child had a tetanus vaccination in the past 10 years?
YES / NO
Is your child receiving or has received, medical or surgical treatment from your doctor or hospital in the last three
months? If yes, please give details below.
YES / NO
Does your child have any known allergies?
Please include hay fever, food allergy etc please give details below.
YES / NO
MEDICAL DETAILS
Please give any details, including name and dosage of any
medication your child takes and/or will need to bring to Brave
Toddlers. This includes Asthma inhalers
Person to Contact in an Emergency:
Emergency Contact Number:
Doctor’s Address:
Contact Number:
MEDICAL HISTORY
Heart Conditions
Sever headaches
Diabetes
Anaphylaxis
Travel sickness
(Please specify)
K
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
......................................................................................................
......................................................................................................
OTHER
Please use this space below to tell us of anything else the Brave
team may need to know about your child. We endeavour to
make Brave toddlers a memorable experience for every child, so
if your child has any special requirements PLEASE inform us.
Continued Overleaf...
1-2s CONSENT FORM
(Continued...)
•
I understand that Brave will take all reasonable steps to provide a safe environment for my child and to ensure that all equipment
supplied by them for any Brave activity and/or event is of a standard fit for the purpose.
•
I agree to register and sign my child in and out of each programme and be responsible for their welfare at all other times
•
I consent for a Brave team volunteer to change the nappy of my child should they need it during the programme. I understand that
this will be done within the designated room in an open space. Should my child require any clothes changed during this time I
give consent for a team member to change them with the clothes I have provided.
•
If my child is being potty trained, I will notify the team and give suitable information. I consent for my child to use the potty provided should they need to use it. Should my child’s clothing need changing in this process, I consent for the team to change into
the clothes I have provided.
•
I agree that Brave may authorise on my child’s behalf any basic medical treatment or first aid he/she may reasonably require.
PLEASE CIRCLE BELOW:
May photographs or video imagery be taken of your child?
YES/NO
May !Audacious use your child’s image in printed promotional publications?
YES/NO
May !Audacious use your child’s image on the website?
YES/NO
Is your child allowed to take part in face painting activities?
YES/NO
Is your child allowed to receive food/snacks during the programme?
YES/NO
I will provide a bag for my child each service containing a spare
change of clothing, nappies, wipes, drink and a comforter?
YES/NO
Date:
Print Name:
Email Address:
Please use this apce to tell us 3 things that your child enjoys doing.
1.
2.
3.
CONSENT FORMS
3-11s CONSENT FORM
Full Name of Child:
Date of Birth:
Male or Female:
Home Address:
Postcode:
MEDICAL INFORMATION
RM
Has your child had a tetanus vaccination in the past 10 years?
YES / NO
Is your child receiving or has received, medical or surgical treatment from your doctor or hospital in the last three
months? If yes, please give details below.
YES / NO
Does your child have any known allergies?
Please include hay fever, food allergy etc please give details below.
YES / NO
MEDICAL DETAILS
Please give any details, including name and dosage of any
medication your child takes and/or will need to bring to Brave
Conference. This includes Asthma inhalers
Person to Contact in an Emergency:
Emergency Contact Number:
Doctor’s Address:
(other than the named Guardian above)
Contact Number:
MEDICAL HISTORY
Heart Conditions
Sever headaches
Diabetes
Anaphylaxis
Travel sickness
(Please specify)
KPlease circle below and give more info if ‘yes’
YES / NO ...................................................................................
YES / NO ...................................................................................
YES / NO ...................................................................................
YES / NO ...................................................................................
YES / NO ...................................................................................
YES / NO ...................................................................................
YES / NO ...................................................................................
YES / NO ...................................................................................
YES / NO ...................................................................................
YES / NO ...................................................................................
YES / NO ...................................................................................
......................................................................................................
......................................................................................................
3-11s CONSENT FORM
(Continued...)
MEDICAL INFORMATION
Has your child had a tetanus vaccination in the last 10 years?
Is your child receiving, or has received, medical or surgical
treatment from your doctor or in hospital in the last
three months?
Please circle below and give more info if ‘yes’
YES / NO ...................................................................................
YES / NO ...................................................................................
ALLERGIES/OTHER
Please use this space to tell us anything else about your child
that would be helpful to the !Audacious Juniors team.
We aim to make !Audacious Juniors a memorable experience
for every child, so if your child has any special requirements
please inform us.
•
I consent to my child going on the morning trips organised by !Audacious Juniors.
•
I agree that my child may ride on the transport provided and that I will provide a booster seat for my child if they legally require to
use one. I am willing to transport my child otherwise.
•
I agree for my child to walk to and from the activities on the morning sessions planned activities from the transport provided.
•
I understand that !Audacious Juniors will take all reasonable steps to provide a safe environment for my child and to ensure all
equipment supplied by them for activities is of a standard fit for the purpose.
•
I consent to photographs/video to be taken of my child during conference week and for them to be used solely for the use of Live
!Audacious Conference and during the week.
•
I consent that my child may take part in face painting activities.
•
I consent that my child may eat sweets, ice lollies, ice creams or additional snacks given by the !Audacious Juniors team.
•
I agree that !Audacious Juniors may authorise on my child’s behalf any basic medical treatment or first aid he/she may
reasonably require.
Date:
Print Name:
Email Address:
LEADER’S DECLARATION
This form is strictly confidential and is in no way a comment or judgment on your qualities. It will be completed by all party leaders
and staff working at !Audacious. Should you have questions regarding the form please direct them to !Audacious leadership.
Full Name:
Date of Birth:
Maiden or Former names:
Home Address:
Postcode:
Telephone:
Email:
How long have you lived at the above address?
Previous Address:
Postcode:
How long have you lived at the above address?
Name of church attended:
Name & Address of Minister:
If you are a party leader, which party are you in charge of? (Church or youth group name by which you registered)
Please list details of previous experience of looking after or working with children / young people,
including details of training received.
LEADER’S DECLARATION
(Continued...)
Have you ever been convicted of a criminal offence or been
cautioned by the police or bound over to keep peace?
Please circle below (if ‘yes’ please give details on a seperate sheet of paper)
YES / NO
Have you ever been held liable by a court for a civil wrong or had Please circle below (if ‘yes’ please give details on a seperate sheet of paper)
an order made against you by matrimonial or family court?
YES / NO
Has your conduct ever put a child at risk, seemed likely to cause Please circle below (if ‘yes’ please give details on a separate sheet of paper
harm or actually has caused harm to a child? To your knowledge, including the dates(s), nature of conduct, and whether you were disciplined,
moved to other work or resigned from any paid or voluntary work as a result)
have there ever been any allegations against you in regards to
YES / NO
these matters?
If considered appropriate, do you agree to co-operate in a formal
police and Dept. of Health Consultancy check?
Please circle below
YES / NO
I confirm that the submitted information is correct, and that I have read, understood and will work within the structures of the
Audacious Policy and Guidelines’ document.
Signed (Applicant):
Date:
Signed (Senior Leader / Church Minister)
Date:
Notes
(1)Because of the nature of the work, this post is exempt from the provision of Section 4 (ii) of the Rehabilitation of Offenders Act 1974
(exemption Order 1975) and you are therefore not entitled to withhold information about convictions which for other purposes are
‘spent’ under the provisions of the Act, any failure to disclose such convictions may result in the withdrawal of approval to work with
children and / or young people at Audacious.
(2) A ‘child’ for this purpose means anyone under the age of eighteen.
TERMS & CONDITIONS
OF BOOKING
1. Full registrations will be taken up until the conference. Subject to availability.
2. It is advisable to book your whole group in at once so as to avoid disappointment. Tickets are
sold on a 1st come, 1st served basis
3. There are no meals provided by !Audacious. Any food suppliers at the event will be
independent suppliers.
4. Full payment is required upon registration to confirm your place/s. No reservations can be
made without payment.
5. Bookings can be carried out over the phone and full payment can be made bycredit or debit
card whilst on the call.
6. All under 18’s must book with a responsible leader who is over 18. For every group of six
under 18’s, one over 18 must be named. These group leaders and youth leaders are therefore
responsible for the delegates under their care at ALL times and must ensure their welfare
during the event.
7. Every delegate under the age of 18 must have a completed consent form otherwise they
cannot take part in !Audacious. The consent forms must reach the office by 15th July 2015.
8. A full refund can be given up until May 31st 2015 otherwise refunds of £20 (per person) may
be given should a registration need to be cancelled. The closing date for requesting refunds is
the 30th June 2015.
No refund will be made after this date for any registration cancellations, unless there is an
extreme condition. You will need to contact the office in this instance.
You may transfer your registration to another person providing it has been fully paid.
The !Audacious office must be advised of any transfer in writing before the 10th July 2015.
9. Group Bookings will not be considered complete until all required forms are returned (leaders
declaration forms, delegate details forms, consent forms)
GROUP DETAILS FORM
We need the details of every individual in your group; please fill out the form below.
Delegate Details Form 2015
Sheet number:
CHURCH NAME:
PLEASE COMPLETE IN BLOCK CAPTIALS, AND PLACE A TICK IN COLUMNS THAT APPLY
Delegate's Name
Date of
Birth
Gender
(circle)
Delegate
Party
Leader
Conference Fee
First
Aider
Emergency
Contact No.
Amount
Paid
Ticket Type
(circle)
1
M
F
£
SEB EB Full
2
M
F
£
SEB EB Full
3
M
F
£
SEB EB Full
4
M
F
£
SEB EB Full
5
M
F
£
SEB EB Full
6
M
F
£
SEB EB Full
7
M
F
£
SEB EB Full
8
M
F
£
SEB EB Full
9
M
F
£
SEB EB Full
10
M
F
£
SEB EB Full
11
M
F
£
SEB EB Full
12
M
F
£
SEB EB Full
13
M
F
£
SEB EB Full
14
M
F
£
SEB EB Full
15
M
F
£
SEB EB Full
16
M
F
£
SEB EB Full
17
M
F
£
SEB EB Full
18
M
F
£
SEB EB Full
19
M
F
£
SEB EB Full
20
M
F
£
SEB EB Full
21
M
F
£
SEB EB Full
22
M
F
£
SEB EB Full
23
M
F
£
SEB EB Full
M
F
£
SEB EB Full
24
SEB = Super Early Bird
EB = Early Bird
Full = Full Price
TOTAL / CARRY FORWARD
£
If you have more than 24 delegates in your group, please print and use more than one one of these sheets, and
number accordingly at the top of this form.

to your info pack

Transcription

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