Camp Twinkletoes

For a family with a newly diagnosed child, the future is uncertain. Camp Twinkletoes supports families to adapt to this uncertainty and build the mental strength to care for their children in the most positive way possible.

About Camp Twinkletoes

Camp Twinkletoes is an annual event designed to help families caring for young children under the age of 8 years with juvenile arthritis.

This full-day event offers parents an opportunity to learn more about their child’s condition, gain effective management solutions (e.g. condition education), and participate in formal discussion groups to share experiences with others. While the little ones are supervised in structured play and similar age-appropriate learning opportunities.

Camp Twinkletoes 2023

We are pleased to open applications for Camp Twinkletoes 2023.

Date: Saturday, 25 March 2023
Venue: Trinity Chapel Macquarie, Robert Menzie College, 136 Herring Road, Macquarie Park, NSW, 2113
Cost:

Child under 5 – FREE
Child over 5 – 16 years: $30.00 pp (inc. light lunch, morning/afternoon tea + activities)
17+ to Adult : $45.00pp (inc. light lunch, morning/afternoon tea + conference)

Due Date: Please complete the application form below prior to or by Friday 10 March 2023

Please Note: Submitting an application from does not guarantee your registration. As there are a limited number of places available, applications will be considered and selected based on the fit between needs of families and the program.

Camp Twinkletoes Application Form 2023

"*" indicates required fields

1Child Details

2Child Details continued

3Parent Details

4Media Consent

Hidden

Status

PART A – PERSONAL DETAILS OF ALL FAMILY MEMBERS ATTENDING CAMP

Name Parent/Carer Attendee 1:*

First Last

Name Parent/Carer Attendee 2:

First Last

Address*

Street Address Address Line 2 Suburb State Postcode

Contact Number - Mobile*

Contact Number - Home

Contact Number - Work

Contact Email*

Name of child with arthritis*

First Last

Gender*

Date of birth*

Additional Attendee's Details:

Full name

Date of birth

Male/Female/Non Binary

More can be added by clicking the '+'

Have you attended Camp Twinkletoes before?

Yes

If yes, please advise the reason(s) you wish to return (e.g. additional questions / child’s symptoms have changed / keen to reconnect with, or meet, families experiencing similar circumstances).

Emergency Contacts

Emergency Contact*

First Last

Your emergency contact must not be someone attending camp

Emergency Contact's Phone Number*

Emergency Contact's Relationship to family*

Family Doctor's Name*

Family Doctor's Contact Number*

Rheumatologist’s Name*

Rheumatologist’s Contact Number*

PART B - FAMILY NEEDS

Please confirm which type of Juvenile Arthritis (JIA) your child has:*

Systemic Onset

Psoriatic Arthritis

Pauciarticular/Oligoarthritis

Polyarticular RF+ve

Polyarticular RF-ve

Juvenile Lupus

Enthesitis Related Arthritis

Don't know

Other

Age when diagnosed?*

Which joint(s) are affected?*

Does anyone attending camp require wheelchair access?*

Does anyone attending camp have any dietary requirements?

Name

Dietary Requirements

Does anyone attending camp have a medical condition that may require emergency medical intervention? (e.g. asthma, epilepsy, diabetes, high or low blood pressure, fainting spells, heart problems)

Name

Medical condition(s)

Does anyone attending camp have any known allergies (bees, pollen/plants, foods, etc.)?

Name

Allergy

Treatment/Medication

IF THE ALLERGY REQUIRES POTENTIAL USE OF AN EPI PEN, IT IS EXPECTED THAT YOU WILL CARRY YOUR OWN WITH YOU AT ALL TIMES AND BE ABLE TO ADMINISTER THE EPI-PEN.

Does anyone attending camp have any other special requirements?

Name

Requirements

PART C – PARENT AUTHORISATION

I/We acknowledge that the venue for Camp Footloose – Robert Menzie College (RMC) – The Trinity Chapel Macquarie has been assessed, under Arthritis NSW guidelines, and deemed a suitable venue.

I/We will not hold Arthritis NSW, its employees, or volunteers, responsible for any illness or injury incurred by any member of our family during Camp Twinkletoes at RMC – Trinity Chapel Macquarie on Saturday 25 March 2023.

I/We will not hold Arthritis NSW, its employees or volunteers, responsible for any illness or injury incurred by any member of our family during the course of Camp Twinkletoes.

I/We indemnify Arthritis NSW against any claims of loss or damage to personal property of our family and acknowledge that all personal property is brought to camp at our own risk.

I/We accept financial responsibility for any damage to The RMC - Trinity Chapel Macquarie property that occurs as a result of the actions of any of the members of our family.

I/We will not bring onto the site, nor be affected by while on the site, alcohol or any illegal substances.

The RMC - Trinity Chapel Macquarie general conditions of hire, we recognise that The RMC - Trinity Chapel Macquarie is a Smoke Free Environment and smoking is not permitted within any building on site.

In the event of injury or illness, if I/we are not present or are unable to be contacted to give consent, we authorise Arthritis NSW staff to obtain on our behalf and at our expense, such urgent medical assistance, treatment and nursing, hospital and ambulance service as may be considered appropriate by Arthritis NSW staff.

The personal details and health information provided has been completed correctly to the best of our knowledge.

I/We recognise that while this is a family camp, there will be occasions where our child/children may be involved in activities in the absence of their parents/guardians. In these situations we consent to leave our child/children with Arthritis NSW staff and/or camp volunteers.

I/We acknowledge that all Arthritis NSW staff and Camp Twinkletoes volunteers have completed National Criminal Record and Working with Children Checks.

I/We understand that we can remove our child/children from any activity at any time and agree to inform Arthritis NSW staff if we do this or decide to leave the camp before the conclusion of the weekend’s activities.

I/We understand that the supervision of our children is our responsibility while at Camp Twinkletoes except when taking part in activities where it is expressly stated by Arthritis NSW that they assume the supervisory role.

I/We understand that while our child/children may be under the care of Arthritis NSW staff and/or volunteers, we are ultimately responsible for the behaviour of our child/children. If a situation arises requiring our child/children to be reprimanded or disciplined, I/we agree to carry this out.

I/We recognise that Camp Twinkletoes is a camp for families with young children and will therefore behave in a manner appropriate for families.

I/We understand that, from time to time, Arthritis NSW will contact us with various opportunities for supporting people with musculoskeletal conditions and research projects. I/We understand that Arthritis NSW will not on-sell any personal details to any other organisation and that Arthritis NSW complies with the Arthritis NSW Privacy Policy.

Parent/Carer's Name

First Last

Date

PART C - MEDIA CONSENT

Arthritis NSW seeks parental / guardian consent to use media, including but not limited to, photography and video taken at Camp Twinkletoes. We assure you that media materials will be used in a responsible and positive manner for the purpose of promoting the organisation’s activities and to secure funding for future camps. Please indicate below where you give consent for media to be used, complete your name and your child’s name and accept the consent.

If you wish to withdraw this consent at any time, please contact Arthritis NSW on (02) 9857 3300.

Arthritis Matters (member magazine of Arthritis NSW)*

Mainstream media (e.g. local newspapers, family magazines, radio)*

Social media: Facebook, Twitter, Instagram, YouTube*

Arthritis NSW Website and Newsletters*

Arthritis NSW Sponsor / Corporate Partner marketing materials (i.e. Camp Twinkletoes funders)*

Paediatric Rheumatology Network*

ADULT'S CONSENT

I, (Parent/Carer Attendee 1)*

First Last

I, (Parent/Carer Attendee 2)

First Last

CHILD'S CONSENT

I, (Parent/Carer)*

First Last

permit media of my children / children in my care, to be used as indicated above. (Child's name 1)

First Last

permit media of my children / children in my care, to be used as indicated above. (Child's name 2)

First Last

permit media of my children / children in my care, to be used as indicated above. (Child's name 3)

First Last

permit media of my children / children in my care, to be used as indicated above. (Child's name 4)

First Last

Can you help support next year’s Camp Twinkletoes?

Juvenile arthritis now affects one in every 1,000 Australian children but only 30 young people were able to attend this year’s Camp Footloose. We would love to accommodate more campers each year, as well as offer camps in rural areas. Funding is the highest barrier, but you can help by donating here.