YAC 2025 – Partcipant Registration

    Personal Details (Participant)

    First Name*

    Last Name*

    Mobile (include country code)*

    Gender*

    Date of Birth*

    Email*

    Jamatkhana*


    Emergency Contact Name*

    Emergency Contact Email*

    Emergency Contact Mobile (include country code)*


    Accommodation Information (not required for Melbourne participants)

    Note: Participants should arrive in Melbourne by the evening of Friday 5th December and depart by the morning of Wednesday 10th December. Flights to arrive and depart from Tullamarine Airport if transport is required

     

    Host Family required for the evening of Friday 5th December?

    Host Family required for the evening of Tuesday 9th December?

    If you have siblings attending the camp and would like to share accommodation with them, please list their names

    If you are organising your own accommodation, please list the contact details and address of where you intend to stay


    Other Information

    Have you previously attended YAC?*

    What year did you graduate high school?*


    Reminder: To be eligible for YAC, participants must have graduated from high school in 2024 or earlier and be between the ages of 18-25 years old at the commencement of camp.

     

    If you are based in Melbourne, would you be willing to host interstate or international participants on the evening of Friday 5th December and/or Tuesday 9th December?

    T-Shirt Size*

    Description of image

    Medicare Number (AU only)

    Private Health Insurance Company (AU only)

    Private Health Insurance Policy Number (AU only)

    Do you have any pre-existing injury/medical illness that we should be aware of? If yes, please list all medications you will be bringing with you*

    Dietary/Allergy Restrictions (Please note food provided will be Halal)*

    We welcome umedwari to support YAC 2025. If you'd like to contribute, please indicate amount


    Content Design (Optional)

    To help us tailor content that reflects the diverse experiences of our participants, we'd love to know a bit more about your background. The questions are entirely optional.

    Where were you born?

    If you were born outside Aus/NZ, what year did you arrive?


    Campsite Activities Waiver

    To participate in any campsite activities, a signed waiver form is required. Be sure to review the Risk Warning
    and Waiver Form which will be sent to you via email or can be accessed via the app in the local updates section—
    we’ll need your signed copy when you make your payment*

    Camp Fees

    A fair cost structure has been decided, keeping in mind that many participants will be traveling from interstate and overseas.
    Melbourne: $350
    Brisbane: $250
    Sydney: $250
    Adelaide: $180
    Canberra: $180
    Auckland: $50
    Perth: $50
    PNG: $50
    South East Asia: $0


    Consent & Agreements

    I agree to attend and participate in Young Adults Conference 2025 – Melbourne on Saturday 6th December 2025 – Tuesday 9th December 2025 at Allambee Camp, 390 Mirboo-Yarragon Rd, Allambee, VIC 3871.

    I agree to participate in the camp’s activities. I consent to Social Development Inc photographing and video recording me during camp activities. I further consent to Social Development Inc:

    · using such photographs and recordings in presentations to parents or community members, for display within Social Development Inc premises, and for the purpose of marketing future camps and similar programs; and
    · providing copies of such photographs and recordings to Participants or their parent / guardian for personal use and enjoyment, including by digital delivery after the program.

    I acknowledge that once such photos or recordings are provided to Participants or their parent / guardian, Social Development Inc is not responsible for how they are subsequently used, shared, or published by third parties. These photos or recordings are provided to Participants as a personal keepsake and are to be used respectfully and in a way that considers privacy of others. Please do not distribute or publish photos involving others without their consent.

    I further consent to transportation (by bus or by car) to another venue for the purposes of a camp activity (eg: transport by bus to a sport centre).

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    Registration Form (Participant)
    I confirm that the information I have supplied in the Young Adults Conference 2025 registration form is true and accurate and I understand that any incomplete or misleading information may affect my eligibility to participate in Young Adults Conference 2025. Should I require emergency medical treatment, I also understand that any incomplete or misleading medical information will affect the medical treatment administered.
    I understand that I am obliged to correct and update the Participant’s personal and medical information where it has changed, and I accept full responsibility for any loss or injury resulting from the reliance upon any old or inaccurate information that I provide.

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    Collection Notice
    By registering the Participant at Young Adults Conference, I agree to disclose personal information as defined by the Privacy Act 1988 (Cth). Under the Privacy Act, 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 Young Adults Conference. The purpose of Young Adults Conference is to encourage participants to try new experiences, emphasise 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 Young Adults Conference 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 Young Adults Conference 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. 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 Young Adults Conference will have access to this information.

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    Medical
    In the event of a medical emergency, I hereby authorise emergency treatment to be administered by a qualified staff member. I also give permission to be transported by ambulance to an emergency centre or hospital if needed. I further consent to medical treatments and procedures to be performed by a licensed physician or hospital when deemed immediately necessary or advisable by the physician to safeguard my health. I further accept responsibility for all expenses incurred for the medical treatment in case of an emergency.

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    Distribution of Camp Photos
    These photos are provided to you as a personal keepsake of your camp experience. By receiving these images, you agree to use them respectfully and in a way that considers the privacy of others. Please do not distribute or publish photos involving others without their consent. Social Development Inc does not accept responsibility for how photos are used or altered once distributed.

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    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 Young Adults Conference 2025 faculty and staff) from all liability, claim or expense, however arising, in anyway connected my involvement with the Camp.

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    By signing below, I warrant that I am above the age of 18 years old, and I have read this consent in full and that 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.


    Signature

    Full Name*


    Date*