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Online Camper Application

2020 Expression of Interest - Campers

To express an interest for your son, daughter or ward to attend the 2020 ICHC, please complete the form below. Once a decision has been made about the ICHC, a member of the ICHC Nursing Team will be in contact to assess suitability and continue the application process.

Child Details
Child's Name*
First Last
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Name of School*
Contact number of School*
Email of school/suitable teacher (if available)
Date of birth*
DD slash MM slash YYYY
Gender*
- Male
- Female
- Other
Age*
Child's weight (kg)
Child's height (cm)
Disability*
Photo (not required)
Max. file size: 16 MB.
Can't find a photo right now? No worries - you can send one later.
General Information
Phone Number*
Alternate Phone Number
Email*
Has your child attended the Ignatian Children's Holiday Camp before?*
Year(s) :
Has your child been to any Sony camps before?*
Which camps? Which years? :
How often do you get respite?*
Reason you would like your child to attend the camp*
Name of person recommending your child to camp*
First Last
Your relation to the child*
Permission to contact your child's school to obtain information to support your application :*
- I agree
- I do not agree
Medical
Does your child suffer from : (Tick all that apply)
- Anaphylaxis
- Asthma
- Food Allergies
- Other Allergies
- Epilepsy
- Diabetes
Does your child take regular medication?*
- Yes
- No
Medications :
Does your child require a special diet?*
- Yes
- No
Special Diet :
How much of what is being said does your child understand?*
- Very little
- Nearly all
- Everything
Does your child :*
- Wear Nappies
- Only require assistance with toileting
- Does not require any assistance
How many times does your child wake during the night?*
- A couple of times a night
- Once a night
- Occasionally
- Never
How often does your child swim?*
- Once a week
- Monthly
- Rarely
- Never / Does not like water
When your child has difficult behaviour, at home, on outings and at school, tell us the methods you use to support them
A nurse will phone you to get further medical and care information

ICHC - NURSING TEAM

[email protected]
St Ignatius' College, Riverview
Tambourine Bay Road, Lane Cove NSW 2066

Phone : 0448 450 320
Web : https://ichc.riverview.nsw.edu.au
ICHC is bound by the Privacy Policy of St Ignatius' College, Riverview.
I acknowledge and accept the privacy policy*
- Yes

Parents

FAQ
What to Bring?
Apply
- Online Camper Application

2020 Expression of Interest - Campers

Child Details

General Information

Medical