Operoo

Youth Membership Application

This form is for all new YOUTH membership applications for Scouts ACT.

Youth membership includes:

Joey Scouts (ages 5-8 years)
Cub Scouts (ages 8-11 years)
Scouts (ages 11-14 years)
Venturers (ages 14-17).

Existing or new Venturers who have turned 18 must apply for Adult Membership here (do not use this form).

Intending Rovers (aged 18-25) must apply for Adult Membership here (do not use this form).

If you are applying for more than one Youth Membership, please fill in a separate application for each new member.

Contact admin@scoutsact.com.au if you have any questions.

PART 1: Information about the YOUTH applicant.

Please provide the full legal name of the Youth, and their preferred name.

First Name *

Middle Name/s (type 'nil' if no middle names) *

Last Name / Surname / Family Name *

Preferred Name (eg, Tom versus Thomas) *

Which section of Scouting is this youth member joining? *

Joeys (5-8 years)

Cubs (8-11 years)

Scouts (11-14 years)

Venturers (14-17 years)

Working with Vulnerable People Card (WWVP)

If you are 16 years of age or older, a copy of your ACT Government Working with Vulnerable People (WWVP) card MUST be provided before an applicant can be accepted and registered as a Youth Member.

If you have a card, a copy of it must be uploaded with this application.
If you have applied for a card, upload a copy of the application receipt (if you have it).
If you have not yet applied, but are about to, please retain the application receipt and upload it via the Upload your working with vulnerable people card so that it can be added to your application documents.
When you receive your card, immediately upload it via the Upload your working with vulnerable people card so that it can be added to your application documents.

Apply here for a WWVP Card (this link takes you to an external website - Access Canberra)

You will need these details for the application (which will mean you don't have to pay an application fee):

The Scout Association of Australia ACT Branch
89 Kitchener Street, Garran ACT 2605
Jo Legge-Wilkinson, Executive Officer
eo@scoutsact.com.au | 02 6282 5211

Select one *

I am under 16 years of age

I already have a WWVP card. I have uploaded a copy with this application

I do not have my card yet, and I am aware that my application cannot be processed until copy of my card is received by Scouts ACT.

Upload a copy of your card (front and back), or your application receipt (if you have one)

List of Allowed file types

School *

School year *

Date of birth -- please double check your answer! *

Why are we asking for gender?

We ask about gender because it helps us understand and meet the needs of our members (for example it helps us plan and deliver better Scout activity programs, better training, and better facilities).

We also ask because gender inclusivity and diversity are metrics by which we are assessed when applying for government and philanthropic funding.

If the way we have phrased or constructed the following question can be improved, please let us know. We welcome the feedback.

Gender (if none of the options suit, please feel welcome to answer in your own words at the free text field provided) *

Female

Male

Non Binary

Prefer not to say

I've used my own words (below)

Optional. Gender (in your own words)

Optional. Aboriginal or Torres Strait Islander

Yes

Optional. Other languages spoken at home

PART 2: Primary Parent/Carer

The primary parent/carer will receive all notices and information, including consent forms to authorise the participation of the youth member in various Scouting activities.

First Name *

Last Name / Surname / Family Name *

Relationship to youth applicant (eg, mother, father, grandparent). *

Address

	Home Address	Postal Address (if different)
Address Line 1
Address Line 2
Suburb / Town / City
State
Postcode

Preferred phone number of primary parent/carer (Number) *

Other phone number of primary parent/carer (optional) (Number)

Preferred email address (ALL scouting information, consent forms, invoices, etc) will be sent here *

Parent/Carer occupation

Parent/Carer interests and hobbies

Parent/Carer prior experience in Scouts or Guides

PART 3: Second parent/carer.

Where a Second Parent/carer is marked as authorised to act as the Primary Carer, some of our database systems may generate notices and emails to the Second Parent/Carer. However, although upgrades are underway, not all systems are capable of this at present.

If there is no second parent or carer, please write 'NA' at each question.

First Name (second parent/carer) *

Last Name / Surname / Family Name (second parent/carer) *

Relationship to youth applicant (eg, mother, father, grandparent) (second parent/carer) *

Is this person authorised to act as the Primary Carer? *

Yes

Home and postal address (second parent/carer) - only complete if different to the Primary Carer details.

	Home address	Postal address
Address Line 1
Address Line 2
Suburb / Town / City
State
Postcode

Preferred phone number (second parent/carer) (Number) *

Preferred email address (second parent/carer) *

Second parent/carer prior experience in Scouts or Guides *

PART 4: Emergency, Medical and Custodial Arrangements

Scouts ACT uses Operoo to manage information about youth member's health and medical requirements, and to collect parent/carer permission for their participation in various activities.

In the coming days you will receive an automatic invitation from Operoo asking you to create a 'profile' for your child (or to share your child's Operoo profile with Scouts ACT if they already have one).

Operoo also stores the information needed to contact you, or someone else you nominate, in the event of an emergency.

Are there any custodial arrangements of which the Scout Group should be aware? *

Yes

If you answered "YES" to custodial arrangements, please tell us what we need to know here.

If applicable, you can upload documents here (eg, medical information, custodial information).

List of Allowed file types

PART 5: Terms and Agreement

By signing this form you confirm that you have read and agree with Scouts ACT's terms. You also confirm that you are the legal guardian of the child, and that you are over 18 years of age.

Conditions for acceptance of members under 18 years of age.

Please read carefully before signing.

I am the parent or carer of the youth member listed in the form and request permission for them to participate in activities organised by the Scout Association of Australia ACT Branch Incorporated (Scouts ACT) ('the Association').

Part A – Release and Indemnity

I am aware that the Association is not responsible for any injuries or damage to property which may occur in circumstances where the Association has not been negligent. I am aware that it is also a condition of the applicant joining the Association and participating in its activities that I release and indemnify the Association in respect to any injury or damage in any circumstances where the Association is not indemnified by a policy of insurance.

I have warned the applicant that impulsive, wilful or disobedient behaviour may risk causing injury to themselves, to others or to property.

In consideration of the applicant's being permitted to:

join the Association;
participate in activities organised by or for the Association; and/or
use the equipment and facilities provided by and for the Association;

I hereby:

for and on behalf of the applicant and for myself, my heirs and assigns, release and forever discharge; and
agree to be liable for and to indemnify the Association, its officers, leaders, employees, agents and contractors, whether voluntary or paid (the 'beneficiaries'), jointly and severally from and against any loss, damage or liability and all actions, suits, claims, costs and demands arising out of or concerning any accident illness, injury, death, loss or damage to persons or property which occurs to the applicant or to any other person:
- during or as a result of the applicant's participation in any activity or function connected with the Association;
- when travelling to or from any such activity.

This release and indemnity does not extend to any loss, damage, liability, action, suit, claim, cost or demand to the extent that the beneficiaries may claim indemnity under any insurance policy held by the Association, and the relevant insurer has agreed or has been ordered to provide indemnity.

Part B - Authority to obtain necessary medical treatment

I authorise the beneficiaries to obtain any medical assistance which is in the opinion of the beneficiary necessary for the applicant, including hospital accommodation in the event that the applicant suffers any accident or illness. In the event that medical expenses are incurred which the beneficiaries cannot claim under any policy of insurance, I agree to pay for those expenses.

Part C – Permission to use photographs

(Optional) I give permission to use photographs of the youth applicant attending Scouting activities for publicity purposes.

Part D – Acknowledgement

I acknowledge that I have read and understood and that I agree to the terms of this release, indemnity and authority to obtain necessary medical treatment.

Privacy Notice

The Scout Association of Australia ACT Branch Incorporated (Scouts ACT) respects your privacy. Scouts ACT collects personal information for the purpose of processing applications for membership and fulfilling its obligations to members. This includes:

administering Scouts ACT activities or services provided by or to each member (including member's health and safety at those activities and receiving feedback about activities or services);
communicating with the member, the member's parents or carers, and others, to facilitate those activities and services;
obtaining help or participation in those activities from parents and carers.

This information may include sensitive information, such as health information about youth members, or information about trade or professional skills that parents and carers may be able to offer. If Scouts ACT does not collect this personal information, it may not be able to carry out the purposes described above satisfactorily. Individuals have certain rights to access their personal information held by the Branch by contacting Scouts ACT (see below).

Unless otherwise required or authorised by law, or your consent, this personal information will only be disclosed to:

Scouts ACT staff, Leaders, Youth Helpers and some branch members to assist Scouts ACT in carrying out the purposes described above; and
agents of Scouts ACT (such as mailing houses) to assist Scouts ACT in carrying out the purposes described above (for example, communicating with youth members and their parents/carers about Scouts ACT matters, or unless you tell us you do not wish to receive it, sending information to you about other products and services).

Contact Details:

The Privacy Officer, Scouts ACT, 89 Kitchener Street, Garran ACT 2605

P: 02 6282 5211. E: admin@scoutsact.com.au

You can find out more about Scouts ACT's use of your personal information in Policy 2.11 at: https://www.scoutsact.com.au/policies-and-procedures.html

I give permission for any photographs of my child/the applicant attending Scout activities to be used for publicity purposes. *

Yes

I understand that I need to pay for and provide the Scout uniform (available from www.scoutshop.com.au) *

I understand that I am required to pay annual Branch and Group membership fees and encourage my child to attend meetings regularly and to keep the rules of Scouts ACT *

Participant Acceptance *

Yes, I accept and agreed to abide by the above conditions

Name

Submission Public, please sign Show me how

Clear

Your name *

Youth Membership Application

Approvals

Group Leader