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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---BDAY PARTY ONLY --- Water sports option chosen (2x1h of: Sailing/Kayaking/Stand Up Paddle)

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---BDAY PARTY ONLY ---Do you need a Gazebo + BBQ (free of charge)

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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?

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--SCHOOL HOLIDAYS ONLY-- Do you allow your child joining a group to get lunch at the shops, unsupervised at lunch time? (ONLY 12yo AND OVER)

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--SCHOOL HOLIDAYS ONLY-- Do you need your child to stay longer after the end of the camp (3:30pm)?

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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 and agree to the above waiver and I confirm all information given is true