Horizon Plus Participant Registration

Consent (to be completed by Parent/Guardian)

I give permission for the Participant to attend and participate in Camp Horizon Plus in Auckland from 16th to 19th April 2025.

I give my permission for the Participant to participate in the camp’s activities. Specifically, I also give my permission to the:

• photographing and video recording of the Participant while at the camp and the use of those photographs and video recordings by Social Development Inc in presentations to parents or other community members, for display in Social Development Inc’s premises and otherwise for the purpose of marketing future camps and similar programs;

• transportation (by bus or by car) of the Participant to another venue for the purposes of a camp activity (e.g., transport by bus to a sports center).

Registration Form

I confirm that the information I have supplied in the Camp Horizon Plus registration form is true and accurate. I understand that any incomplete or misleading information may affect the Participant’s eligibility to participate in Camp Horizon Plus. Should the participant require emergency medical treatment, I also understand that any incomplete or misleading medical information will affect the medical treatment administered to the Participant.

I understand that I am obliged to correct and update the Participant’s personal and medical information where it has changed. I accept full responsibility for any loss or injury resulting from reliance on old or inaccurate information that I provide.

Collection Notice

By registering the Participant at Camp Horizon Plus, I agree to disclose personal information as defined by the Privacy Act 1988 (Cth) and Privacy Act 2020 (NZ). Under the Privacy Act 1988 (Cth) and Privacy Act 2020 (NZ), the National Institutions must inform you of the following information about storing your personal information. Organisation contact details: Social Development Inc Pty Ltd, [email protected]

Social Development Inc collects personal and health information for registration to Camp Horizon Plus. The purpose of Camp Horizon Plus is to encourage participants to try new experiences, emphasis the importance of a healthy and balanced lifestyle, enhance participants’ self-esteem, critical thinking and teamwork skills and encourage expression and creativity. If personal and health information is not collected, the planning and implementation of Camp Horizon Plus will not be able to be carried out effectively. Social Development Inc must have this information on hand to, amongst other things, communicate with parents and guardians during the planning and implementation of Camp Horizon Plus, ensure the safety and security of participants and efficient medical treatment can be provided at the camp site if necessary, and to ensure the content of the camp is suitable and catered appropriately to specific cohorts of participants.

Information provided to Social Development Inc will not be disclosed to any third party without your express consent. Social Development Inc’s privacy policy allows you to access your information anytime to make changes as required. You may contact [email protected] to arrange this access.

Social Development Inc’s privacy policy allows you to file a complaint if you believe Social Development Inc has breached any Australian Privacy Principles or New Zealand Privacy Principles. In addition, you may refer any difference or dispute to The Conciliation and Arbitration Board, having jurisdiction under the constitution of The Shia Imami Ismaili Muslims.

Social Development Inc will only disclose information to overseas persons with your express consent.

All information collected is securely stored in an electronic database. Only the members of the core project implementation team of Camp Horizon Plus will have access to this information.

Medical

In the event of a medical emergency, I authorize emergency treatment to be administered to the Participant by a qualified staff member. I also give permission for the Participant to be transported by ambulance to an emergency centre or hospital if needed. If I cannot be contacted, I further consent to medical treatments and procedures to be performed on the Participant by a licensed physician or hospital when deemed necessary by the physician to safeguard the Participant’s health. I accept responsibility for all expenses incurred for the medical treatment of the Participant in case of an emergency.

Release

I release, indemnify, and hold harmless Social Development Inc, including His Highness Prince Aga Khan Shia Imami Ismaili Council for Australia and New Zealand, its portfolios, members, staff, volunteers, and agents (including Camp Horizon Plus counsellors and staff) from all liability, claims, or expenses arising in any way connected to the Participant’s involvement with Camp Horizon Plus.

By checking the box below, I warrant that I am a legal guardian of the Participant. I have read this consent in full, and the information I have provided in the registration form is complete and accurate. I acknowledge and agree to the terms set out in this consent.

I confirm that I am the legal guardian and agree to the terms.