Which weeks? (required)

Camp runs [9 am to 3 pm], Monday to Friday.

The camper

Camper’s name (required)

Date of birth (required)

Grade this autumn (required)

A friend they’d like to be grouped with

Parent or guardian

Your name (required)

Relationship to the camper (required)

Email (required)

Mobile (required)

Home address (required)

Street address (required)

Address line 2 (optional)

Suburb (required)

State (optional)

Postcode

Emergency contact, not a parent (required)

Someone we can call if neither parent answers.

Emergency contact’s phone (required)

Pick-up

Who else may collect your child? (required)

They must be [16] or over and show photo ID at sign-out.

Is anyone not allowed to collect your child? (required)

Health

Does your child have any allergies? (required)

Medical conditions, medications or activity limits staff should know about

Dietary needs

Consents

Emergency treatment (required)

If I cannot be reached, staff may get emergency medical treatment for my child.

Photos of your child (required)

Trips (required)

My child may go on supervised trips off site and travel in camp vehicles.

Rules and release (required)

I have read and accept the camp rules and the release of liability: [link]

Parent or guardian signature (required)

Draw your signature, or choose Type instead to type your name.

Fees: $[amount] a week. A deposit of $[amount] holds a place, and the balance is due by [date]. Refunds until [date]. Pay at [payment link] after you register.

Would you like information about financial help?

Your answer does not affect your child’s place.

Summer camp registration

The camper

Parent or guardian

Pick-up

Health

Consents