Kids Camp Registration

Kids Camp Registration
Are you coming as a....
Please select from drop down list
Which camp would you like to register for?
Please select from drop down list
Returning or New?
Personal Details
Name
First and last name
Date of Birth

DayMonthYear
Gender
Please select from drop down list
Street Number
Street Name
Suburb
Town
Postcode
Email Address
This needs to be the parent or caregiver and will be used for all correspondence
School attending
School year
Caregivers Details
Name of first contact person
Relationship
Mother, father, grandparents, friend etc
Phone 1
Phone 2
Name of second contact person
Relationship
Mother, father, grandparents, friend etc
Phone 1
Phone 2
Camp Information
Days coming (Senior)
Days coming (Junior)
Bus Pick up/drop off (Senior/ Junior)
Bunk selection
Does your child receive additional support at school? eg Teacher Aid
Are you eligable for funding support?

Other
Any information that we need to know to better care for your child
Cultural needs, Fears, bed wetting, ADD, behavior, sleep walking, anxieties etc
Medication that will be required while your child is at camp
Include any medical conditions (allergies, asthma, heart, blood etc)
Dietary requirements.
Vegetarian, gluten free, dairy free, vegan etc
Friend Requests
Friend 1
Gender and age appropriate
Friend 2
Gender and age appropriate
Referee Details
Referee's name
Please ask them first
Their phone number
Their email address
Relationship to you
Employer, church pastor, teacher, coach etc
Submit
Person filling in this form
Relationship to camper
Please select from drop down list
I give consent for any photos and videos taken during camp to be shared on Teapot Valley's YouTube channel and I am happy for the video link to be sent to other families that also have children on the same camp. Photos and videos may also be posted on the Teapot Valley website.
Should be Empty:

Kids Camp Registration

Personal Details

Caregivers Details

Camp Information

Friend Requests

Referee Details

Submit