Adelaide Family Camp 2016

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Date/Time
Date(s) - 24/09/2016 - 25/09/2016
9:30 am - 2:00 pm

Location
Woodhouse Activity Center

Categories


First Name (required)

Sur Name (required)

Spouse First Name (required)

Spouse Sur Name (required)

Your Gender (required)
MaleFemale

Date of Birth (required)

Medicare Id(required)

Number of Children (required)

Please state any essential medical/dietary requirements or Allergies

Contact Details

Email (required)

Mobile Number (required)

Landline Number

Address

Suburb

City

State

Country

Post Code

Emergency Contact Details

Parent/Next of Kin Emergency Contact Number 1

Parent/Next of Kin Emergency Contact Number 2

I understand the risk involved in camp activities. I am aware that the camp participants may use public or private transport during the course of camp activities. I indemnify HSS from any claims arising out of mishap / accident/ injury during the camp stay in or out of camp site.

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