KYCK 2026 • Wild Street

Youth Ticket 0

KYCK 2026 Registration Form

Wild Street and St Matt's Youth are heading to KYCK on the weekend of the 17th-19th of April! KYCK is a conference for youths in school years 6-12 run by Katoomba Christian Conventions (more info https://www.kyck.org.au/). Wild Street and St Matt's Youth will travel in leader's or parents cars (either green P plate or full licensed drivers) up to the Blue Mountains. Our groups accomodation is Camp Fletcher in Springwood with some overflow to Lawson Baptist Church. The cost for the weekend will be $200 per youth, this includes accommodation, conference tickets, all food (besides dinner on Friday night which will need your child to be provided with money for takeaway), and transport. Please speak to Cooper about concessions for circumstances of hardship.

Child and Parent/Guardian Details

First Name *

Last Name *

Parent/Guardian Name *

Email Address *

Mobile Number *

Emergency Contact Name *

Emergency Phone Number *

Does this child have any allergies, medical conditions, or dietary requirements leaders should be aware of? Please give details

Permissions

I give permission for my child/children that I have registered to attend and participate fully in KYCK on the 17th-19th of April 2026 *

Yes

I authorise the Wild Street and St Matt's Youth leaders in charge of the KYCK weekend away where it is impracticable to communicate with me, to arrange for my child to receive such medical treatment as the leaders may deem necessary while in the care of the leaders. I accept full responsibility for all payments associated with such treatment. *

Yes

I understand that my child will be travelling with other children in a car driven by one of the Wild Street and St Matt's Youth leaders or trusted parents to, from and during KYCK and give permission for them to do so. *

Yes

I give permission for photographs to be taken of my child/ren for future advertising of KYCK for WSY *

Yes

Other Information

I will provide the Youth Pastor, Cooper Ingram, with any information relevant to the wellbeing of my child prior to him or her attending the KYCK Conference. *

Yes

I acknowledge that being part of a community involves mutual care and consideration, and therefore agree that unacceptable behaviour may result in my child needing to be picked up by me and taken home. *

Yes

Is there any other information that will help us care for your children? Please provide details.

Payment

I understand that the cost of this weekend is $200 per youth coming to KYCK with our group and I must pay it in full by April 10th 2026 to Wild Street Anglican Church either by credit/debit card, cash or by EFT. If paying EFT: Bank Account. BSB: 032-197 Acc: 444233 Ref: K26(First Initial, Surname) (E.g. K26CIngram) *

Yes

I confirm that the information given in this form is true and correct, and will advise the Youth Pastor, Cooper Ingram, of any changes to this information. *

Yes

Leader Ticket 0

KYCK 2026 Registration Form

Child and Parent/Guardian Details

First Name *

Last Name *

Parent/Guardian Name *

Email Address *

Mobile Number *

Emergency Contact Name *

Emergency Phone Number *

Does this child have any allergies, medical conditions, or dietary requirements leaders should be aware of? Please give details

Permissions

I give permission for my child/children that I have registered to attend and participate fully in KYCK on the 17th-19th of April 2026 *

Yes

I give permission for photographs to be taken of my child/ren for future advertising of KYCK for WSY *

Yes

Other Information

I will provide the Youth Pastor, Cooper Ingram, with any information relevant to the wellbeing of my child prior to him or her attending the KYCK Conference. *

Yes

Is there any other information that will help us care for your children? Please provide details.

Payment

Yes

I confirm that the information given in this form is true and correct, and will advise the Youth Pastor, Cooper Ingram, of any changes to this information. *

Yes

Date & Time

Youth Ticket 0

KYCK 2026 Registration Form

Child and Parent/Guardian Details

Permissions

Other Information

Payment

Leader Ticket 0

KYCK 2026 Registration Form

Child and Parent/Guardian Details

Permissions

Other Information

Payment