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School Holiday Camp Booking Form

[ If you would prefer to download PDF version of form, please CLICK HERE ]

Cost - $470 (including GST) per child.
Second and subsequent children from the same immediate family are eligible for a 10% discount.

Participant Numbers - Each camp has a minimum and maximum number of participants. Camps will not occur if minimum numbers are not met. Tentative bookings are not confirmed until Land's Edge receives a completed booking form, medical form/s and payment in full for each child attending camp.

Child/Children's Details
1)
Surname:
Given Name:
Date of Birth:
Age:
Camp #
           
2)
Surname:
Given Name:
Date of Birth:
Age:
Camp #
           
3)
Surname:
Given Name:
Date of Birth:
Age:
Camp #


Parent/Guardian Details (and authorisation to collect child/ren)
1) Parent/Guardian Surname: Given Name:
Phone: home: mobile: work:
Relationship to child:
 
2) Parent/Guardian Surname: Given Name:
Phone: home: mobile: work:
Relationship to child:

Payment Options
Number of children attending: NB: Please contact office if you are eligible for a family discount
Total: $
Account Name:
BSB:
Account Number:
Land's Edge NSW
062-562
10170189

Confirmation will be sent by post once payment is received. Please provide your postal address:
Email:
Address:
Suburb: State: Postcode:
If confirmation has not been received within a week from payment, please call our office.

Where did you hear about us?



Forms
The following forms also need to be completed FOR EACH CHILD. They will automatically be sent to you once the booking form has been received. They are also available upon request before such time.
2. Medical Summary Sheet
3. Medical Form
4. Asthma Management Form
5. Allergic Reaction Management Form
6. Consent and Indemnity Form and Risk Warning

Privacy
The information on this form is collected for the primary purpose of providing Holiday Care for your child/ren. Other purposes for collection are administrative matters and billing purposes, to ensure adequate medical care is given and to contact parent/guardians if required. If you choose not to complete all the questions on this form, it may not be possible for Land's Edge to provide Holiday Care for your child/ren. Personal information may be disclosed to Medical staff.

Cancellation Policy
Bookings may be altered and/or cancelled up until two weeks prior to the booked camp, without a fee being incurred. After this date any changes to bookings or cancellations will be charged at the regular fee unless a family from the waiting list can fill the position.

Land's Edge looks forward to welcoming your child/ren on our holiday camp!

   

 
 
Land's Edge :: PO Box 256 Gerringong NSW 2534
Ph: 02 4234 3278 | Fx: 02 4234 3815 | E: info@landsedge.com.au
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