Bday

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End Date

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Starts

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End Date

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Email Address

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Phone Number

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Parent/Guardian First Name and Surname

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Childs First Name

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Childs Last Name

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Gender *

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Date of Birth

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Age

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Emergency Contact Person/s

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Emergency Contact Number/s - Please list all applicable contact numbers

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Does this child have any Allergies?

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Does your child have any disabilities?

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Does this child have any current illness or injuries that may affect the during camp/class?

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Does this child take any regular medication? Please provide details:

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What is your child's swimming ability? (Poor,average,good)

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--SCHOOL HOLIDAYS ONLY-- Do you allow your child to go get lunch at the shops, unsupervised at lunch time? (Kids generally go with their friend, no roads crossed at anytime, and we do a checkout/checkin)

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PHOTOGRAPHIC CONSENT During the course of the camp, photos and videos may be taken of various activities for online use and marketing purposes. These videos will be used by Adventure Camp only. Please note, that if you do not want your child featured in photos of videos, we cannot guarantee that they will not be in the background of photos or in group photos.

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I have read, understood the T&Cs and agree to the above waiver and I confirm all information given is true

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If you have a $100 ACTIVE KIDS voucher from the NSW government you want to use during towards this camp, please
upload it below.

You will be given a $100 coupon to use when booking.

Please note that we cannot go back and process a voucher after the payment is made in full.